2015 YRBS Executive Summary · Web viewWEIGHT and WEIGHT-CONTROL BEHAVIORS – MASSACHUSETTS MIDDLE...

EXECUTIVE SUMMARY

INTRODUCTIONHealth and Risk Behaviors of Massachusetts Youth, 2015is the product of a collaborative effort between the Massachusetts Department of Elementary and Secondary Education (ESE) and Department of Public Health (DPH) to conduct two youth surveys in Massachusetts public secondary schools.

The Massachusetts Youth Risk Behavior Survey (MYRBS) and Massachusetts Youth Health Survey (MYHS) are conducted every two years to monitor health indicators, behaviors, and risk factors contributing to the leading causes of morbidity, mortality, and social and academic problems among adolescents, including:

Behaviors related to injuries and violence Behaviors related to personal safety Alcohol and other drug use Tobacco use Sexual behaviors related to unintended pregnancy and sexually transmitted infections, including HIV Behaviors related to nutrition and physical activity Protective Factors Other factors related to adolescent health

The 2015 MYRBS and MYHS were conducted in 59 randomly selected public high schools and the MYHS in a random selection of 87 public middle schools across the Commonwealth. Local parent permission procedures were followed prior to the surveys being administered. During survey administration, procedures to protect student privacy were strictly maintained. In total, 9,185 students in grades 6 through 12 participated in these voluntary and anonymous surveys during the spring of 2015. The results presented are representative of all public middle and high school students.

The following summary presents an overview of survey results and demographic characteristics of students reported in the MYRBS and MYHS (Figure 1). Also included is an appendix of detailed data tables on key health indicators, behaviors, and risk factors reported on in the full report. Included in the tables are overall prevalence estimates, as well as gender, grade and race/ethnicity subgroup estimates. For the high school tables, subgroup estimates by sexual orientation are also provided.

The full report, Health and Risk Behaviors of Massachusetts Youth, 2015, includes prevalence estimates, and where applicable, responses from the past five surveys with indications of significant changes over time for the following categories:

Protective factors Sexual and Gender

Minority Youth Homeless Youth

Nutrition, Physical Education and Activity, and Weight

Personal Safety Tobacco Use

Substance Use Gambling Violence-Related

Behaviors and Experiences

Page 1 of 82

Mental Health Sexual Behaviors and

Sexuality Education Other Health Conditions

and Health-Related Factors

The full report also highlights prevention, education, and policy initiatives undertaken by ESE, DPH, and other state and community agencies to address issues affecting our youth and resources for further information within each of these categories. The full report, as well as the appendix of detailed data tables, is available at: http://www.doe.mass.edu/sfs/yrbs/ and http://www.mass.gov/eohhs/gov/departments/dph/programs/admin/dmoa/health-survey/myhs/.

2015 KEY FINDINGS

Many youth report the presence of factors associated with lower rates of risk behaviors.Factors such as academic achievement, exposure to positive public health messaging, a positive perception of one’s health status, school-connectedness, and a close relationship with a parent or caregiver have been recognized as potential protective factors.

Since 2007, there has been an increase in the percentage of middle and high school students reporting mostly grades of A’s and B’s in school in the past year, and an increase in the percentage of students reporting seeing or hearing anti-alcohol/anti-drug messages on TV, online, the radio, or in newspapers in the past month.1

In 2015, most students rated their health as good or better (middle school: 95%, high school: 92%). Among high school students, 73% reported having a teacher in school they could talk to about a

problem and 82% reported having a parent or adult family member they could talk to about things important to them.

Many youth risk behaviors and health-related factors show significant improvements since 2013.2

Since 2013, improvements have been observed in many areas of risk among middle and high school students, such as bullying; family violence; tobacco, alcohol, and marijuana use; access to drugs at school; and sports-related concussions.

Among both middle and high school students, fewer students in 2015 compared to 2013 reported initiating bullying in the past year (middle school: 5% vs. 8%, high school: 7% vs. 9%), and smoking cigarettes in the past month (middle school: 5% vs. 8%, high school: 7% vs. 9%).

Among middle school students, fewer students in 2015 compared to 2013 reported being bullied in the

1Statistically significant differences between 2015 and 2013 estimates were determined based on non-overlapping weighted percent 95% confidence intervals.2Analysis of trends from 2007 to 2015 was using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05.

Page 2 of 82

http://www.mass.gov/eohhs/gov/departments/dph/programs/admin/dmoa/health-survey/myhs/

http://www.doe.mass.edu/sfs/yrbs/

past year (33% vs. 36%), being physically hurt by a family member in the past year (8% vs. 10%),ever smoking cigarettes (6% vs. 9%), ever smoking cigars, cigarillos, or little cigars (3% vs. 5%), ever drinking alcohol (13% vs. 19%), and using marijuana in the past month (2% vs. 3%).

Among high school students, fewer students in 2015 compared to 2013reported initiating cyber-bullying in the past year (5% vs. 8%),and being offered or sold drugs at school (20% vs. 23%). Among high school students who play sports, fewer students reported experiencing symptoms of a sports-related concussion in the past year (14% vs. 16%).

Some youth risk behaviors and health-related factors have worsened significantly since 2013.2

A few indicators, in particular mental health, teen dating violence, motor vehicle safety, nutrition, physical activity and sexuality education, have worsened in recent years.

More high school students in 2015 compared to 2013 reported feeling sad or hopeless for more than two weeks (27% vs. 22%), texting while driving (39% vs. 32%), talking on a cell phone while driving (47% vs. 39%), initiating violence against someone they were dating (2% vs. 1%), and engaging in 3 or more hours of video/computer games per day (43 % vs. 39%).

Fewer high school students in 2015 compared to 2013 reported eating breakfast daily (35% vs. 40%) and being taught about HIV/AIDS in school (80% vs. 84%).

Among middle school students, more students in 2015 compared to 2013reported playing 3 or more hours of video/computer games per day (42% vs. 36%).

Some important risk areas remain statistically unchanged since 2013.2

In recent years, a few important indicators - notably those related to opioid and prescription drug use, cyber-bullying, alcohol use, and nutrition and weight- have seen small fluctuations but no significant change.

Among middle and high school students, reported percentages were statistically equivalent in 2015 and 2013for cyber-bullying in the past year(middle school: 15%, high school: 13%) and obesity (middle school: 9%, high school: 11%).

Among middle school students, similar percentages were reported in both 2015 and 2013 for intentionally hurting one-self without wanting to die in the past year (16%), drinking one or more sugar-sweetened beverages in the past day (52%), and binge drinking in the past 30 days (2%).

Among high school students, being bullied at school in the past year (16%), being physically hurt by someone they were dating (9%),carrying a weapon in the past month (13%), using alcohol or drugs before last intercourse (22%), and having ever used marijuana (41%) remain unchanged in 2015 from 2013.

Given the current emphasis on the dangers of opioid addiction at both the state and national levels, it is notable that indicators of opioid, prescription drug, and other illicit drug use have remained unchanged among youth since 2013:

Among middle school students, approximately 1% reported ever using heroin and 3% reported ever using prescription drugs that were not their own.

Among high school students, approximately 1% reported ever using heroin and 11% reported ever using prescription drugs that were not their own.

Page 3 of 82

As influences on adolescent health and social wellbeing change, it is crucial to keep abreast of new and changing behavioral patterns among youth.With the addition of new questions to the MYRBS and MYHS, data regarding several risk and protective factors are beginning to emerge that can help to inform educational and public health initiatives targeting adolescents.

In 2015, high school students were asked new questions on electronic cigarette use, synthetic marijuana use, caffeine intake, sleep adequacy, dating violence, and access to sexual health services and education.

Almost half (45%) of high school students reported ever using an electronic vapor product, and 8% ever using synthetic marijuana.

Only 22% of high school students reported getting the recommended 8 or more hours of sleep on an average school night, while 44% reported drinking at least one caffeinated beverage in the past day.

Among high school students who have been on a date, nearly one out of four (24%) have ever had their activities monitored by someone they were dating and one out of 12 (8%) have been forced to do things of a sexual nature in the past year by someone they were dating.

Sixty-four percent (64%) of high school students reported having ever been taught in school about birth control methods.

Middle school students were asked new questions on sleep adequacy, caffeine intake, and dating violence. Sixty percent (60%) of middle school students reported getting 8 or more hours of sleep on an average

school night, while 31% reported drinking at least one caffeinated beverage in the past day. Sixteen percent (16%) of middle students who have been on a date reported ever having had their

activities monitored by someone they were dating.

Page 4 of 82

DEMOGRAPHICSFigure 1: Demographic Characteristics of the 2015 MYHS and MYRBS

Student Samples N (weighted %)

Middle School High School MYHS (N=3,428) MYHS (N=2,618 ) MYRBS (N=3,120)

Sex Female 1,653 (49.0%) 1,316 (49.5%) 1,557 (49.6%)

Male 1,689 (51.0%) 1,260 (50.5%) 1,542 (50.4%)

Missing 86 42 21

Grade

6th grade 1,097 (33.2%) - -

7th grade 1,176 (33.1%) - -

8th grade 1,138 (33.7%) - -

9th grade - 744 (26.4%) 742 (26.3%)

10th grade - 689 (25.2%) 749 (25.2%)

11th grade - 622 (24.6%) 902 (24.6%)

12th grade - 549 (23.2%) 695 (23.6%)Ungraded or

Other 1 (0.02%) 3 (0.1%) 9 (0.3%)

Missing 16 11 23

Race/Ethnicity a

White, non-Hispanic 2,058 (65.2%) 1,593 (66.8%) 1,712 (66.8%)

Black, non-Hispanic

184 (8.4%) 236 (8.8%) 316 (8.8%)

Hispanic or Latino 633 (17.4%) 496 (16.0%) 683 (16.0%)

Asian, non-Hispanic 120 (3.6%) 142 (4.8%) 155 (5.8%)

Other or Multiple

Ethnicity, non-Hispanic

182 (5.4%) 107 (3.6%) 140 (2.6%)

Missing 251 44 114(a) Students were allowed to indicate multiple racial/ethnic categories. If Hispanic/ Latino was indicated as an ethnic identification, whether alone or in combination with other ethnic categories, the student was categorized as Hispanic/Latino. The Other or Multiple Ethnicity category includes American Indian, Alaskan Natives or Pacific Islander, and youth who indicated several ethnicities that did not include Hispanic/Latino.

Page 5 of 82

DATA TABLES

PROTECTIVE FACTORSHigh School Students Middle School Students

SUBSTANCE USE PERCEPTION and ACCESSHigh School Students Middle School Students

DATING and SEXUAL VIOLENCEHigh School Students

SEXUAL and GENDER MINORITY YOUTHHigh School Students

ALCOHOL USEHigh School Students Middle School Students

DATING and FAMILY VIOLENCEMiddle School Students

PHYSICAL ACTIVITYHigh School Students Middle School Students

TOBBACO USEHigh School Students Middle School Students

OTHER VIOLENCE and VIOLENCE-RELATED EXPERIENCES

High School Students

SCREEN TIMEHigh School Students Middle School Students

MARIJUANA USEHigh School Students Middle School Students

MENTAL HEALTH and SUICIDALITYHigh School Students Middle School Students

DIETARY BEHAVIORSHigh School Students Middle School Students

SUBSTANCE USE ON SCHOOL PROPERTYHigh School Students

SEXUAL BEHAVIORS and EXPERIENCESHigh School Students Middle School Students

WEIGHT and WEIGHT CONTROL BEHAVIORS

High School Students Middle School Students

OTHER ILLICIT DRUG USEHigh School Students Middle School Students

SEXUAL HEALTH EDUCATIONHigh School Students Middle School Students

MOTOR VEHICLE SAFETYHigh School Students Middle School Students

GAMBLINGHigh School Students Middle School Students

OTHER HEALTH CONDITIONS and RELATED FACTORS

High School Students Middle School Students

SPORTS RELATED SAFETYHigh School Students Middle School Students

BULLYINGHigh School Students Middle School Students

PROTECTIVE FACTORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 2)

Percentage of Massachusetts High School Students who reported:

Sleeping 8+ hours on an average school night Earning mostly A's and B's in school

Page 6 of 82

Overall(95% Confidence Interval)

22.0(19.8 - 24.3)

76.0(71.8 - 80.1)

Grade

9th Grade 30.3(25.9 - 35.2)

78.9 (73.8 - 84.0)

10th Grade 23.4(19.3 - 28.1)

75.6 (67.7 - 83.5)

11th Grade 17.8(14.7 - 21.5)

74.1 (68.3 - 80.0)

12th Grade 15.9(13.5 - 18.6)

75.4 (69.1 - 81.7)

Gender Male 25.0

(21.9 - 28.3)71.9

(66.5 - 77.3)

Female 19.1(16.9 - 21.6)

80.1 (76.9 - 83.4)

Race/Ethnicity

White, NH 23.3(20.7 - 26.2)

80.5(76.5 - 84.5)

Black, NH 16.5(12.7 - 21.1)

63.5(56.5 - 70.6)

Hispanic 19.3(16.3 - 22.7)

61.8(53.8 - 69.9)

Asian, NH 17.9(12.3 - 25.3)

85.9(77.6 - 94.2)

Multiracial, NH 27.0(20.2 - 35.2) -

Sexual OrientationHeterosexual 22.2

(20.0-24.7)76.2

(72.1 - 80.3)Gay, Lesbian, and Bisexual

17.7(13.1-23.5)

71.9(65.5 - 78.3)

Data source: Massachusetts Youth Risk Behavior Survey 2015 unless noted (^), in which the data was from the Massachusetts Youth Health Survey 2015. Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

PROTECTIVE FACTORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 2)

Page 7 of 82


Having at least one parent or other adult family member that they can talk to

about things important to them

Having at least one teacher or other adult at school that they can talk to if

they have a problemOverall(95% Confidence Interval)

82.1(80.3 - 83.7)

73.3(71.1 - 75.4)

Grade

9th Grade 82.8(79.0 - 86.0)

69.9(65.1 - 74.3)

10th Grade 82.2(78.3 - 85.5)

73.2(68.8 - 77.2)

11th Grade 81.4(77.6 - 84.6)

74.1(69.8 - 78.0)

12th Grade 82.6(79.0 - 85.6)

76.5(71.5 - 80.9)

Gender Male 84.3

(82.1 - 86.3)71.6

(68.5 - 74.5)

Female 80.0(77.6 - 82.2)

75.2(72.1 - 78.1)

Race/Ethnicity

White, NH 85.0(82.8 - 86.9)

75.7(73.5 - 77.8)

Black, NH 77.3(69.0 - 83.9)

70.6(61.9 - 78.1)

Hispanic 75.9(71.7 - 79.7)

69.1(63.1 - 74.5)

Asian, NH 71.2(59.2 - 80.8)

65.3(56.9 - 72.9)

Multiracial, NH - 75.9(65.1 - 84.3)

Sexual Orientation

Heterosexual 84.4(82.6-86.0)

74.1(71.6-76.4)

Gay, Lesbian, and Bisexual

64.5(58.2-70.4)

71.2(64.9-76.8)


PROTECTIVE FACTORS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS

Page 8 of 82

Percentage of Massachusetts Middle School Students who reported:

Having good or better overall health

Sleeping 8+ hours on an average school night

Earning mostly A's and B's in school

Overall (95% Confidence Interval)

94.8(93.8 - 95.8)

60.4(57.7 - 63.1)

83.3(80.4 - 86.2)

Grade

6th Grade 96.9(95.8 - 98.0)

72.1(68.0 - 76.2)

86.5(82.9 - 90.2)

7th Grade 94.2(92.5 - 95.9)

61.9(58.9 - 64.9)

81.0(76.1 - 86.0)

8th Grade 93.4(91.6 - 95.2)

47.7(44.3 - 51.2)

82.4(78.4 - 86.4)

Gender Male 95.5

(94.3 - 96.7)63.5

(60.6 - 66.4)79.0

(75.1 - 82.8)

Female 94.2(92.7 - 95.6)

57.2(53.5 - 60.8)

88.0(85.4 - 90.7)

Race/Ethnicity

White, NH 96.4(95.4 - 97.4)

61.8(59.0 - 64.6)

88.0(85.6 - 90.3)

Black, NH 88.8(83.4 - 94.2)

57.6(50.6 - 64.5)

70.8(62.1 - 79.4)

Hispanic 90.7(88.3 - 93.1)

52.1(46.5 - 57.7)

70.0(63.5 - 76.5)

Asian, NH 95.1(91.5 - 98.7)

62.3(53.5 - 71.2)

95.1(90.6 - 99.7)

Multiracial, NH 93.2(89.1 - 97.3)

60.2(49.9 - 70.5)

78.5(69.3 - 87.8)

Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 9 of 82


Being Lesbian, Gay, or Bisexual Being Transgender


7.7(6.8 - 8.6)

2.0(1.4 - 2.7)

Grade

9th Grade 6.5(4.8 - 8.2)

2.1(1.2 - 3.1)

10th Grade 10.7(8.4 - 13.0) -

11th Grade 5.9(4.3 - 7.5)

1.9(1.1 - 2.7)

12th Grade 7.6(5.6 - 9.7) -

Gender Male 4.5

(3.5 - 5.5)2.3

(1.3 - 3.2)

Female 10.8(9.2 - 12.4)

1.3(0.6 - 2.0)

Race/Ethnicity

White, NH 7.3(6.3 - 8.3)

1.5(0.8 - 2.2)

Black, NH - -

Hispanic 11.2(8.8 - 13.7)

3.6(2.2 - 5.0)

Asian, NH - -Multiracial, NH - -

Sexual Orientation

Heterosexual - 1.4(0.9 - 2.3)

Gay, Lesbian, and Bisexual - 6.2

(3.7 - 10.3)

SEXUAL and GENDER MINORITY YOUTH – MASSACHUSETTS HIGH SCHOOL STUDENTS


Page 10 of 82

PHYSICAL ACTIVITY – MASSACHUSETTS HIGH SCHOOL STUDENTS


Playing on a sports team, past year

Being physically active for 60 minutes, 5+ days

per week

Êngaging in vigorous activity for 20+ minutes,

3+ times per week

^Walking, biking or skateboarding

to/from school, past 5 days


60.6(56.6 - 64.4)

45.2(41.2 - 49.3)

72.0(68.9 - 75.0)

18.6(13.8 - 23.5)

Grade

9th Grade 65.7(60.3 - 70.6)

48.0(41.7 - 54.4)

75.1(70.4 - 79.8)

20.3(14.3 - 26.3)

10th Grade 61.5(54.2 - 68.3)

49.5(43.1 - 56.0)

70.7(64.9 - 76.4)

20.3(13.6 - 27.0)

11th Grade 57.1(51.9 - 62.1)

41.4(36.7 - 46.2)

74.8(70.5 - 79.1)

12.6(7.0 - 18.3)

12th Grade 58.1(51.5 - 64.4)

41.5(35.8 - 47.3)

67.0(62.8 - 71.2)

20.7(12.1 - 29.3)

Gender Male 62.6

(58.1 - 66.9)52.9

(49.0 - 56.8)78.5

(75.5 - 81.5)19.8

(14.4 - 25.2)

Female 59.0(54.5 - 63.4)

37.4 (32.6 - 42.5)

64.9(60.6 - 69.3)

17.3(12.6 - 22.0)

Race/Ethnicity

White, NH 65.3(60.7 - 69.6)

50.8(47.2 - 54.4)

76.9(73.8 - 79.9)

11.4(9.0 - 13.7)

Black, NH 56.0(49.9 - 61.8)

32.4(26.5 - 38.9)

58.4(51.5 - 65.3)

40.2(28.3 - 52.1)

Hispanic 45.6(42.4 - 48.8)

31.8(26.8 - 37.3)

62.3(57.5 - 67.1)

34.1(24.4 - 43.8)

Asian, NH 54.4(43.6 - 64.8)

40.4(30.7 - 50.9)

62.0(54.9 - 69.1)

22.5(12.1 - 32.9)

Multiracial, NH 60.9(49.4 - 71.4)

51.1(41.4 - 60.8) - -


(59.4-67.3)47.4

(43.2-51.6)73.2

(70.0 - 76.5)18.2


38.1(30.9-45.8)

26.6(19.7-34.8)

63.5(57.9 - 69.1)

24.4(15.7 - 33.2)

Data source: Massachusetts Youth Risk Behavior Survey 2015 unless noted (^), in which the data was from the Massachusetts Youth Health Survey 2015.

Page 11 of 82

Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 12 of 82

PHYSICAL ACTIVITY – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Being physically active for 60 minutes,5+ days

per week

Engaging in vigorous activity for 20+

minutes, 3+ times per week

Walking, biking or skateboarding to/from

school, past 5 daysOverall (95% Confidence Interval)

49.2(46.5 - 51.8)

74.9(72.7 - 77.2)

21.2(18.1 - 24.3)

Grade

6th Grade 50.4(46.7 - 54.2)

75.5(72.4 - 78.6)

18.4(14.1 - 22.7)

7th Grade 50.7(46.7 - 54.6)

75.4(72.2 - 78.6)

21.6(17.1 - 26.0)

8th Grade 46.5(42.5 - 50.5)

74.3(70.8 - 77.8)

23.6(19.3 - 27.9)

Gender Male 54.7

(51.5 - 57.9)76.9

(74.2 - 79.5)20.8

(17.5 - 24.1)

Female 43.1(39.7 - 46.5)

73.4(70.6 - 76.1)

21.1(17.5 - 24.7)

Race/Ethnicity

White, NH 53.2(50.5 - 55.9)

80.0(78.1 - 82.0)

15.6(13.3 - 17.9)

Black, NH 46.1(39.4 - 52.8)

66.3(59.2 - 73.4)

33.0(22.7 - 43.4)

Hispanic 38.6(34.3 - 42.8)

63.0(58.9 - 67.2)

35.5(30.5 - 40.5)

Asian, NH 28.7(21.1 - 36.3)

65.1(55.1 - 75.1)

23.5(13.8 - 33.1)

Multiracial, NH 45.2(36.9 - 53.4)

69.6(62.4 - 76.7)

29.7(21.2 - 38.2)


Page 13 of 82

SCREEN TIME– MASSACHUSETTS HIGH SCHOOL STUDENTS


Spending 3+hours per day playing video games and/or

using the computer for something other than school

work (on an average school day)^Watching TV for 3+ hours on an

average school dayOverall (95% Confidence Interval)

43.2(40.8 - 45.7)

18.3(15.9 - 20.8)

Grade

9th Grade 43.5(39.2 - 47.9)

19.9(15.7 - 24.2)

10th Grade 45.3(40.0 - 50.8)

21.2(17.1 - 25.4)

11th Grade 43.2(39.3 - 47.2)

12.7(9.4 - 15.9)

12th Grade 39.8(35.4 - 44.4)

19.2(15.4 - 23.0)

Gender Male 42.9

(39.7 - 46.3)16.8

(14.4 - 19.1)

Female 43.3(40.2 - 46.4)

20.1(16.7 - 23.5)

Race/Ethnicity

White, NH 42.1(39.6 - 44.7)

15.5(12.8 - 18.2)

Black, NH 43.3(37.5 - 49.3)

30.1(25.0 - 35.2)

Hispanic 45.7(41.9 - 49.5)

24.4(19.8 - 28.9)

Asian, NH 42.6(32.1 - 53.8)

16.1(9.1 - 23.0)

Multiracial, NH 58.4(46.3 - 69.5) -


(38.8-44.2)17.9


59.2(52.3-65.8)

21.6(15.1 - 28.1)


Page 14 of 82


SCREEN TIME– MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Spending 3+hours per day playing video games and/or using the computer for something other

than school work (on an average school day)

Watching TV for 3+ hours on an average school day


42.4(39.4 - 45.4)

20.8(18.4 - 23.3)

Grade

6th Grade 33.2(28.9 - 37.5)

19.1(15.3 - 22.9)

7th Grade 45.2(40.9 - 49.6)

20.8(16.9 - 24.8)

8th Grade 48.6(44.0 - 53.1)

22.4(18.7 - 26.0)

Gender Male 41.3

(37.8 - 44.8)18.9

(16.5 - 21.3)

Female 43.9(40.4 - 47.4)

22.3(19.1 - 25.4)

Race/Ethnicity

White, NH 38.0(34.6 - 41.3)

15.7(13.5 - 17.9)

Black, NH 52.6(45.3 - 59.9)

37.9(31.4 - 44.4)

Hispanic 56.3(52.7 - 60.0)

33.3(29.8 - 36.7)

Asian, NH 43.4(33.6 - 53.3)

13.7(6.3 - 21.0)

Multiracial, NH 47.0(38.6 - 55.4)

21.2(13.8 - 28.6)


Page 15 of 82

DIETARY BEHAVIORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 2)


Page 16 of 82


Drinking 3+ glasses of milk per day

Eating breakfast every day

Drinking 1+ glass of non-diet soda

per dayEating fruit 2+ times per day


10.9(9.5 - 12.6)

34.9(32.5 - 37.4)

13.8(11.6 - 16.2)

31.4(29.2 - 33.5)

Grade

9th Grade 12.2(9.3 - 15.8)

37.8(33.3 - 42.5)

11.8(9.0 - 15.4)

35.1(30.2 - 40.1)

10th Grade 12.8(10.1 - 16.1)

33.6(28.7 - 39.0)

14.5(11.0 - 18.9)

31.3(26.8 - 35.9)

11th Grade 10.4(8.0 - 13.3)

34.3(31.0 - 37.9)

13.1(10.4 - 16.4)

29.5(26.0 - 33.1)

12th Grade 7.8(5.8 - 10.5)

33.8(29.3 - 38.7)

15.3(11.1 - 20.7)

28.6(24.3 - 33.0)

GenderMale 15.4

(13.4 - 17.6)35.8

(32.7 - 39.0)17.7

(14.8 - 21.0)31.9

(29.4 - 34.5)

Female 6.4(5.1 - 8.0)

34.0(30.7 - 37.4)

9.7(7.9 - 12.0)

30.6(26.7 - 34.5)

Race/Ethnicity

White, NH 12.2(10.4 - 14.3)

36.8(34.7 - 39.0)

13.3(10.8 - 16.4)

32.2(29.7 - 34.8)

Black, NH 9.5(6.5 - 13.7)

24.9(18.0 - 33.3)

13.7(9.7 - 19.0)

26.5(21.1 - 31.9)

Hispanic 7.8(5.6 - 10.9)

32.4(26.9 - 38.5)

16.9(14.2 - 20.1)

30.6(26.2 - 34.9)

Asian, NH 5.4(2.4 - 11.8)

32.4(24.7 - 41.3)

9.6(3.8 - 22.2)

29.5(20.7 - 38.2)

Multiracial, NH 10.8(5.0 - 21.9)

33.1(24.2 - 43.3)

19.4(11.5 - 30.8)

33.0(22.3 - 43.6)

Sexual Orientation


35.7(33.4-38.1)

13.5(11.3-16.1)

31.4(29.3 - 33.5)


7.3(3.9-13.1)

25.2(18.5-33.4)

17.8(13.0-23.8)

27.7(21.6 - 33.7)

DIETARY BEHAVIORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 2)


Eating vegetables 3+ times per day

Eating fruit 2+ AND vegetables 3+ times

per day^Having 1+ drinks with

caffeine yesterday

^Having 1+ sweetened beverage (e.g. soda,

flavored drink) yesterday


12.0 (10.5 - 13.6)

8.1 (6.9 - 9.2)

43.5 (41.1 - 45.9)

61.4 (58.4 - 64.5)

Grade 9th Grade 12.3 (9.3 - 15.3)

7.8 (5.5 - 10.1)

37.5 (32.9 - 42.1)

65.2 (60.7 - 69.7)

10th Grade 10.8 (8.0 - 13.5)

7.4 (4.6 - 10.1)

42.1 (37.9 - 46.2)

59.5 (54.3 - 64.6)

11th Grade 12.1 (9.1 - 15.2)

7.9 (5.5 - 10.3)

47.0 (42.6 - 51.4)

61.6 (57.1 - 66.2)

12th Grade 12.6 (9.0 - 16.3)

8.8 (5.9 - 11.7)

47.9 (42.9 - 53.0)

59.5 (53.3 - 65.6)

Gender Male 12.6 (10.7 - 14.5)

8.3 (6.8 - 9.7)

41.9 (38.8 - 45.0)

66.6 (63.4 - 69.8)

Female 11.2 (9.0 - 13.5)

7.7 (5.9 - 9.5)

44.9 (42.1 - 47.7)

55.8 (52.0 - 59.6)

Race/Ethnicity White, NH 12.6 (10.6 - 14.5)

8.4 (6.8 - 9.9)

45.0 (41.9 - 48.2)

58.3 (54.6 - 61.9)

Black, NH 8.7 (5.4 - 12.0)

6.1 (2.7 - 9.5)

31.9 (24.9 - 38.8)

68.9 (62.9 - 74.9)

Hispanic 10.4 (6.6 - 14.2)

7.6 (4.6 - 10.5)

45.0 (40.6 - 49.5)

71.4 (66.1 - 76.6)

Asian, NH 13.4 (6.3 - 20.6) - 28.2

(22.3 - 34.1)56.9

(48.1 - 65.7)

Multiracial, NH 9.6 (4.2 - 15.1)

9.2 (3.9 - 14.4) - -

Sexual Orientation Heterosexual 11.9 (10.3 - 13.5)

8.1 (6.9 - 9.2)

42.8 (40.4 - 45.3)

61.3 (58.2 - 64.4)


12.6 (7.4 - 17.8)

8.2 (4.0 - 12.4)

51.8 (45.1 - 58.5)

63.4 (54.8 - 71.9)


Page 17 of 82

DIETARY BEHAVIORS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Eating fruit 2+ times yesterday

Eating vegetables 3+

times yesterday

Eating fruit 2+ AND vegetables 3+ times

yesterday

Having 1+ drinks with caffeine

yesterday

Having 1+ sweetened beverage (e.g. soda,

flavored drink) yesterday


57.0(55.1 - 58.9)

21.6(20.0 - 23.3)

16.1(14.7 - 17.5)

31.1(29.0 - 33.2)

63.5(61.1 - 65.9)

Grade

6th Grade 58.4(55.0 - 61.9)

25.8(22.8 - 28.9)

20.4(17.9 - 22.8)

27.7(24.3 - 31.1)

64.6(61.3 - 67.8)

7th Grade 58.1(55.3 - 60.9)

20.4(17.9 - 22.8)

14.1(12.2 - 16.1)

32.9(29.6 - 36.3)

64.9(61.0 - 68.8)

8th Grade 54.8(51.5 - 58.1)

18.9(16.2 - 21.5)

14.1(11.8 - 16.4)

32.6(29.1 - 36.1)

61.0(57.1 - 64.9)

Gender Male 55.9

(53.4 - 58.5)19.6

(17.7 - 21.6)14.1

(12.5 - 15.7)30.5

(27.8 - 33.2)65.1

(62.2 - 67.9)

Female 57.8(55.4 - 60.2)

23.4(20.8 - 26.0)

17.9(15.7 - 20.0)

31.8(29.1 - 34.4)

61.8(58.6 - 64.9)

Race/Ethnicity

White, NH 56.4(53.9 - 59.0)

22.1(20.3 - 24.0)

16.2(14.6 - 17.9)

29.4(26.6 - 32.3)

60.4(57.7 - 63.1)

Black, NH 57.7(51.9 - 63.6)

18.9(11.9 - 26.0)

15.6(8.6 - 22.5)

32.0(26.3 - 37.6)

72.5(65.1 - 80.0)

Hispanic 56.2(52.8 - 59.5)

17.1(13.7 - 20.5)

12.9(10.0 - 15.9)

38.9(35.6 - 42.3)

71.3(67.5 - 75.1)

Asian, NH 58.7(49.0 - 68.4)

26.1(18.4 - 33.8)

16.3(10.1 - 22.6)

14.6(8.2 - 20.9)

46.1(35.2 - 57.1)

Multiracial, NH 64.2(57.5 - 71.0)

26.6(19.0 - 34.2)

23.5(16.1 - 30.9)

32.5(25.7 - 39.3)

72.1(63.7 - 80.5)


Page 18 of 82

WEIGHT and WEIGHT-CONTROL BEHAVIORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (Part 1 of 3)


Being obese (i.e., ≥95th

percentile for body mass index by age

and sex)

Being overweight (i.e., 85 to 95th

percentile for body mass index by age

and sex)

Thinking they are slightly or very

overweightTrying to lose

weight

Încreasing fruit and vegetable intake to lose weight, past 30

daysOverall (95% Confidence Interval)

11.0(9.4 - 12.8)

15.3(13.6 - 17.2)

31.5(29.7 - 33.4)

46.0(43.8 - 48.3)

55.8(53.4 - 58.2)

Grade

9th Grade 8.5(6.5 - 11.0)

16.8(13.3 - 21.0)

30.5(27.3 - 33.9)

45.1(41.3 - 48.9)

55.1(50.7 - 59.6)

10th Grade 12.8(9.2 - 17.6)

15.1(11.9 - 19.1)

33.2(29.4 - 37.2)

48.4(44.0 - 52.9)

53.4(49.6 - 57.1)

11th Grade 12.7(9.8 - 16.2)

16.3(13.5 - 19.4)

31.7(29.0 - 34.6)

46.3(43.0 - 49.7)

58.5(54.3 - 62.7)

12th Grade 9.9(7.5 - 13.0)

12.7(10.1 - 15.8)

30.8(27.0 - 34.8)

44.4(40.2 - 48.5)

56(51.9 - 60.1)

Gender Male 14.7

(12.1 - 17.6)16.0

(14.2 - 17.8)27.3

(24.7 - 30.0)32.7

(29.9 - 35.6)49.0

(45.8 - 52.2)

Female 7.2(5.6 - 9.1)

14.7(12.4 - 17.3)

35.9(32.6 - 39.3)

59.5(56.8 - 62.0)

62.3(58.9 - 65.8)

Race/Ethnicity White, NH 9.6(8.0 - 11.6)

13.5(11.3 - 16.0)

30.5(28.1 - 32.9)

43.6(40.8 - 46.4)

54.9(51.9 - 57.8)

Black, NH 15.5(10.9 - 21.7)

18.9(14.0 - 25.0)

32.6(28.2 - 37.3)

47.3(42.1 - 52.6)

58.8(49.5 - 68.1)

Hispanic 15.0(11.4 - 19.4)

19.9(17.4 - 22.8)

35.6(31.7 - 39.8)

54.1(47.7 - 60.4)

56.2(51.3 - 61.2)

Asian, NH 9.4( 5.6 - 15.2 )

12.6 (7.5 - 20.4)

32.9 (25.8 - 40.9)

52.4 (44.1 - 60.5)

59.8 (50.7 - 68.9)

Multiracial, NH

13.8(6.9 - 25.6)

21.9(15.2 - 30.5)

33.8(24.5 - 44.4)

43.8(34.1 - 54.0) -

Sexual Orientation Heterosexual 10.2

(8.5-12.0)15.3

(13.6-17.2)29.7

(28.0-31.5)44.4

(42.1-46.7)55.8

(53.4 - 58.2)


18.0(12.9-24.5)

14.3(9.0-21.9)

46.3(40.6-52.1)

61.2(54.5-67.6)

51.5(43.9 - 59.1)


Page 19 of 82

WEIGHT and WEIGHT-CONTROL BEHAVIORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 3)


^Cutting calories to lose weight,

past 30 days

^Cutting out snacking to lose weight, past 30

days

^Decreasing fat intake to lose

weight, past 30 days

Êxercising to lose weight, past

30 days

^Fasting to lose weight, past 30

daysOverall (95% Confidence Interval)

38.8(37.3 - 40.4)

40.3(38.4 - 42.2)

35.9(33.9 - 37.9)

77.2(75.3 - 79.2)

9.6(8.4 - 10.9)

Grade 9th Grade 35.0(31.7 - 38.3)

39.9(36.7 - 43.0)

33.5(29.3 - 37.6)

78.9(75.8 - 82.1)

9.6(7.4 - 11.9)

10th Grade 37.4(34.1 - 40.7)

35.1(31.7 - 38.5)

32.6(29.2 - 36.1)

75.6(72.1 - 79.2)

9.5(7.2 - 11.7)

11th Grade 42.3(39.2 - 45.4)

42.4(38.6 - 46.1)

38.6(35.0 - 42.3)

79.1(75.3 - 82.9)

10.4(7.8 - 12.9)

12th Grade 41.1(37.2 - 45.0)

44.3(39.9 - 48.6)

39.3(34.3 - 44.2)

75.3(70.6 - 80.0)

9.2(6.7 - 11.6)

Gender Male 30.2(27.6 - 32.9)

31.0(28.0 - 33.9)

30.8(28.1 - 33.6)

75.3(72.6 - 78.0)

5.6(4.1 - 7.2)

Female 47.6(44.7 - 50.6)

49.6(47.1 - 52.2)

40.8(37.6 - 44.1)

79.1(76.3 - 81.9)

13.3(11.3 - 15.3)

Race/Ethnicity White, NH 38.9(36.8 - 41.0)

40.8(38.2 - 43.4)

34.7(32.2 - 37.1)

79.1(76.7 - 81.4)

8.1(6.7 - 9.5)

Black, NH 35.0(29.2 - 40.8)

38.8(31.7 - 46.0)

39.6(31.5 - 47.7)

75.1(68.2 - 82.0)

13.8(9.7 - 17.9)

Hispanic 39.0(34.7 - 43.2)

40.1(36.1 - 44.0)

36.3(30.9 - 41.6)

72.5(68.6 - 76.5)

13.0(10.0 - 16.0)

Asian, NH 44.7(37.1 - 52.3)

42.2(35.5 - 48.9)

47.3(41.7 - 52.8)

76.7(69.9 - 83.6) -

Multiracial, NH - - - - -

Sexual Orientation

Heterosexual 38.0(36.1 - 39.8)

39.2(37.0 - 41.5)

35.3(33.3 - 37.3)

77.8(75.8 - 79.8)

8.1(6.8 - 9.3)

Gay, Lesbian, and Bisexual 45.7

(38.1 - 53.4)51.8

(45.6 - 58.0)38.8

(30.1 - 47.5)71.0

(64.7 - 77.3)25.1

(18.9 - 31.2)


Page 20 of 82

WEIGHT and WEIGHT-CONTROL BEHAVIORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 3 OF 3)


Întentionally vomiting to lose weight,

past 30 days

^Taking diet pills without MD approval to

lose weight, past 30 days

^Taking laxatives to lose weight, past 30 days

^Doing ANY of these measures to lose

weight, past 30 daysOverall (95% Confidence Interval)

4.2(3.4 - 5.0)

3.2(2.3 - 4.1)

3.0(2.4 - 3.7)

86.8(85.5 - 88.1)

Grade

9th Grade 3.5(1.5 - 5.5)

2.1(1.0 - 3.2)

2.8(1.4 - 4.2)

87.7(85.5 - 89.8)

10th Grade 4.3(3.0 - 5.7)

2.8(1.5 - 4.0)

3.8(2.4 - 5.3)

85.2(82.6 - 87.8)

11th Grade 5.3(3.5 - 7.2)

3.6(1.8 - 5.3)

3.2(1.8 - 4.6)

88.0(85.6 - 90.4)

12th Grade 3.7(2.2 - 5.2)

4.5(2.6 - 6.4)

2.2(1.1 - 3.3)

86.6(83.4 - 89.8)

Gender Male 2.2

(1.3 - 3.1)2.3

(1.3 - 3.3)2.0

(1.1 - 2.9)82.3

(79.9 - 84.7)

Female 6.0(4.5 - 7.5)

4.2(2.9 - 5.5)

4.0(3.0 - 5.0)

91.3(89.6 - 93.0)

Race/Ethnicity

White, NH 3.8(2.8 - 4.8)

2.5(1.5 - 3.5)

2.2(1.4 - 3.0)

86.9(85.2 - 88.6)

Black, NH 5.9(3.0 - 8.9) - 6.2

(2.7 - 9.7)89.6

(84.5 - 94.7)

Hispanic 4.7(2.6 - 6.8)

5.4(2.9 - 7.8) - 86.9

(83.3 - 90.5)

Asian, NH - - - 86.1(80.7 - 91.5)

Multiracial, NH - - - -

Sexual Orientation


2.6(1.8 - 3.4)

2.4(1.8 - 3.1)

86.7(85.3 - 88.1)


14.3(8.9 - 19.7)

8.9(4.7 - 13.1)

6.7(3.3 - 10.1)

87.4(82.9 - 91.9)


Page 21 of 82

WEIGHT and WEIGHT-CONTROL BEHAVIORS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 1 OF 3)


Being obese (i.e., ≥95th

percentile for body mass

index by age and sex)

Being overweight (i.e.,

85 to 95th percentile for

body mass index by age

and sex)

Thinking they are

slightly or very

overweightThinking they are

normal weight

Thinking they are slightly or very underweight


8.5(7.1 – 9.9)

14.3(12.8 - 15.8)

24.4(22.7 - 26.2)

57.1(55.6 - 58.7)

18.4(17.1 - 19.8)

Grade

6th Grade 9.2(6.8 - 11.6)

12.6(10.0 - 15.2)

21.2(18.3 - 24.1)

59.4(56.8 - 62.1)

19.4(16.9 - 21.8)

7th Grade 8.2(6.0 - 10.3)

14.5(12.5 - 16.5)

25.6(22.7 - 28.5)

55.2(52.5 - 57.9)

19.2(16.9 - 21.5)

8th Grade 8.3(6.2 - 10.4)

15.6(12.7 - 18.5)

26.4(23.4 - 29.5)

56.9(53.9 - 59.9)

16.7(14.3 - 19.0)

Gender Male 10.5

(8.4 - 12.6)14.8

(12.9 - 16.8)23.3

(21.0 - 25.6)56.4

(54.0 - 58.8)20.3

(18.1 - 22.5)

Female 6.4(4.9 - 7.9)

13.8(11.4 - 16.1)

25.6(23.2 - 28.1)

57.8(55.3 - 60.3)

16.5(14.5 - 18.6)

Race/Ethnicity

White, NH 7.1(5.7 - 8.5)

12.7(11.0 - 14.4)

21.8(20.0 - 23.6)

59.5(57.7 - 61.4)

18.7(17.1 - 20.2)

Black, NH 12.7(7.1 - 18.3)

10.1(4.2 - 16.0)

26.1(18.5 - 33.7)

55.9(47.8 - 63.9)

18.0(12.6 - 23.4)

Hispanic 13.4(10.4 - 16.3)

24.4(20.8 - 28.1)

34.9(31.7 - 38.0)

52.4(49.0 - 55.7)

12.8(9.9 - 15.7)

Asian, NH - 12.9(6.0 - 19.8)

30.7(21.6 - 39.8)

50.6(40.8 - 60.4)

18.7(10.4 - 27.0)

Multiracial, NH - 20.7(10.5 - 31.0)

33.5(24.9 - 42.2)

42.6(33.9 - 51.3)

23.9(15.6 - 32.2)


Page 22 of 82

WEIGHT and WEIGHT-CONTROL BEHAVIORS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 2 OF 3)


Increasing fruit/vegetables to lose weight,

past 30 days

Cutting calories to lose weight, past

30 days

Cutting out snacking to lose weight, past 30 days

Decreasing fat intake to lose


Exercising to lose weight, past 30 days


56.0(54.0 - 58.0)

34.6(32.3 - 36.9)

37.9(35.8 - 40.0)

35.2(33.1 - 37.2)

77.0(75.0 - 79.0)

Grade

6th Grade 54.5(50.8 - 58.1)

31.9(27.9 - 35.9)

36.6(33.2 - 40.0)

34.1(30.7 - 37.6)

76.8(73.0 - 80.7)

7th Grade 57.0(54.3 - 59.7)

35.0(32.0 - 38.1)

36.6(33.2 - 40.0)

36.0(33.2 - 38.8)

78.5(75.8 - 81.2)

8th Grade 56.4(52.7 - 60.1)

36.7(33.2 - 40.3)

40.6(37.1 - 44.2)

35.6(32.0 - 39.1)

75.9(72.5 - 79.2)

Gender Male 52.3

(49.4 - 55.2)32.9

(30.1 - 35.7)34.6

(32.0 - 37.1)34.7

(32.0 - 37.4)76.3

(73.8 - 78.8)

Female 59.6(56.8 - 62.3)

36.5(33.4 - 39.6)

41.6(38.7 - 44.6)

36.0(33.4 - 38.6)

77.7(75.4 - 80.0)

Race/Ethnicity

White, NH 55.5(53.1 - 57.9)

33.6(30.8 - 36.5)

37.8(35.3 - 40.3)

34.7(32.2 - 37.1)

79.0(76.7 - 81.2)

Black, NH 60.0(52.5 - 67.5)

34.0(25.9 - 42.0)

37.4(29.6 - 45.2)

37.2(29.3 - 45.1)

76.2(69.9 - 82.4)

Hispanic 57.1(53.1 - 61.0)

37.4(32.3 - 42.5)

40.9(36.7 - 45.1)

39.0(34.7 - 43.2)

73.5(68.9 - 78.0)

Asian, NH 60.4(50.5 - 70.3)

34.1(25.6 - 42.5)

31.8(23.8 - 39.7)

37.1(28.2 - 46.1)

72.3(63.6 - 81.1)

Multiracial, NH 54.7(46.0 - 63.5)

37.9(29.6 - 46.3)

35.2(26.9 - 43.5)

35.5(26.6 - 44.4)

74.9(67.9 - 81.9)


Page 23 of 82

WEIGHT and WEIGHT-CONTROLBEHAVIORS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 3 OF 3)


Fasting to lose weight,

past 30 days

Intentionally vomiting to lose


Taking diet pills without MD approval

to lose weight, past

30 days

Taking laxatives to lose weight, past 30 days

Doing ANY of these

measures to lose weight, past 30 days


8.2(7.0 - 9.5)

3.6(2.9 - 4.4)

1.2(0.8 - 1.6)

1.3(0.9 - 1.8)

85.0(83.4 - 86.7)

Grade

6th Grade 5.9(4.1 - 7.8)

2.6(1.3 - 3.9) - 1.4

(0.6 - 2.2)83.4

(79.9 - 86.9)

7th Grade 8.7(6.7 - 10.7)

3.4(2.0 - 4.7)

1.3(0.5 - 2.0) - 86.9

(85.1 - 88.7)

8th Grade 10.1(8.0 - 12.1)

4.9(3.6 - 6.1)

1.4(0.8 - 2.1)

1.7(0.9 - 2.4)

84.8(82.2 - 87.4)

Gender Male 5.4

(4.1 - 6.7)2.2

(1.3 - 3.2) - 1.3(0.6 - 2.0)

83.3(81.1 - 85.6)

Female 11.1(9.2 - 13.0)

5.0(3.9 - 6.0)

1.5(0.9 - 2.0)

1.3(0.8 - 1.9)

86.8(85.0 - 88.6)

Race/Ethnicity

White, NH 6.6(5.3 - 7.9)

3.2(2.4 - 4.0)

0.8(0.4 - 1.2)

0.9(0.5 - 1.3)

85.2(83.2 - 87.3)

Black, NH 17.3(11.4 - 23.1) - - - 86.8

(81.1 - 92.6)

Hispanic 12.5(9.7 - 15.3)

5.3(3.4 - 7.1)

2.3(1.1 - 3.5) - 86.0

(83.2 - 88.8)

Asian, NH - - - - 79.5(72.6 - 86.3)

Multiracial, NH - - - - 84.4(78.8 - 90.0)


Page 24 of 82

MOTOR VEHICLE SAFETY - MASSACHUSETTS HIGH SCHOOL STUDENTS


Riding with an intoxicated driver,

past 30 days

Driving after drinking, past 30

days (among students who drove)

Texting or emailing while driving, past

30 days (among students who drove)

Talking on a cell phone while driving, past 30 days (among students who drove)

Êver reading or sending text

messages when driving


18.2(16.3 - 20.4)

9.4(7.4 - 11.7)

39.3(35.3 - 43.3)

46.5(42.2 - 50.9)

38.5(33.2 - 43.7)

Grade

9th Grade 12.4(9.8 - 15.6)

5.7(2.3 - 13.4)

11.0(7.0 - 16.9)

14.7(8.8 - 23.3) -

10th Grade 17.4(14.3 - 20.9)

5.5(2.3 - 12.6)

13.8(10.1 - 18.5)

16.4(12.4 - 21.4)

11.0(6.8 - 15.2)

11th Grade 20.6(16.8 - 24.9)

6.1(3.8 - 9.6)

39.3(34.1 - 44.7)

46.0(40.5 - 51.5)

38.8(32.6 - 45.0)

12th Grade 21.9(17.5 - 27.2)

14.3(11.5 - 17.7)

59.0(54.5 - 63.5)

68.7(63.6 - 73.4)

53.8(46.0 - 61.7)

Gender Male 17.7

(15.3 - 20.4)12.1

(9.3 - 15.7)40.4

(36.1 - 44.7)49.1

(44.1 - 54.3)40.8

(34.8 - 46.8)

Female 18.5(16.2 - 21.0)

6.5(4.6 - 9.2)

38.2(32.8 - 43.9)

43.6(38.1 - 49.2)

36.4(29.7 - 43.2)

Race/Ethnicity

White, NH 17.7(15.5 - 20.1)

8.9(6.8 - 11.5)

41.9(37.4 - 46.6)

49.2(43.9 - 54.5)

41.2(35.4 - 47.0)

Black, NH 16.5(9.5 - 27.0) - 32.7

(27.5 - 38.3) - -

Hispanic 22.6(19.9 - 25.6)

13.2(8.3 - 20.4)

28.4(17.9 - 41.9)

39.1(31.4 - 47.3)

33.0(25.6 - 40.4)

Asian, NH 13.1(6.8 - 23.7) - - - -

Multiracial, NH

17.6(12.4 - 24.4) - - - -

Sexual Orientation


9.3(7.4-11.7)

40.3(36.3-44.5)

47.3(42.8-51.8)

38.8(33.3 - 44.3)


21.6(16.1-28.4) - - - -


Page 25 of 82

MOTOR VEHICLE SAFETY – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Never or rarelywearing a

seatbelt

Riding with someone who had been

drinking alcohol, past 30 days

Riding with someone who had been using marijuana,

past 30 daysOverall (95% Confidence Interval)

5.7(4.3 - 7.1)

9.3(8.1 - 10.5)

4.4(3.3 - 5.5)

Grade

6th Grade 4.7(2.7 - 6.7)

6.0(4.4 - 7.5)

2.6(1.5 - 3.8)

7th Grade 6.1(4.0 - 8.2)

10.3(8.5 - 12.1)

3.8(2.4 - 5.2)

8th Grade 6.2(3.9 - 8.5)

11.7(9.7 - 13.7)

6.7(4.8 - 8.7)

Gender Male 6.3

(4.5 - 8.1)8.5

(7.0 - 10.1)4.1

(2.8 - 5.4)

Female 5.1(3.8 - 6.3)

10.3(8.6 - 12.0)

4.7(3.3 - 6.0)

Race/Ethnicity

White, NH 2.4(1.7 - 3.1)

9.5(8.0 - 10.9)

2.8(1.9 - 3.7)

Black, NH 11.8(6.5 - 17.1) - -

Hispanic 15.8(12.4 - 19.2)

11.3(8.5 - 14.0)

8.6(6.0 - 11.2)

Asian, NH - - -

Multiracial, NH - 13.2(7.1 - 19.4)

8.8(3.7 - 13.9)


Page 26 of 82

SPORTS-RELATED SAFETY – MASSACHUSETTS HIGH SCHOOL STUDENTS


^Having symptoms of a sports-related concussion (among students

who played on a team), past year

^Being removed from play after symptoms of a sports-related concussion (among students who played on a team),

past yearOverall(95% Confidence Interval)

14.0(12.4 - 15.5)

49.5(42.9 - 56.2)

Grade

9th Grade 15.4(11.6 - 19.1) -

10th Grade 14.5(11.5 - 17.6) -

11th Grade 15.4(11.8 - 19.1) -

12th Grade 10.2(7.7 - 12.7) -

Gender Male 17.5

(15.0 - 20.1)45.4

(36.5 - 54.4)

Female 10.2 (8.2 - 12.2) -

Race/Ethnicity

White, NH 15.1(13.3 - 17.0)

48.8(40.8 - 56.7)

Black, NH 12.8(7.1 - 18.5) -

Hispanic 9.5(6.8 - 12.3) -

Asian, NH - -

Multiracial, NH - -


(12.4 - 15.7)48.9


12.9(6.7 - 19.0) -


Page 27 of 82

SPORTS-RELATED SAFETY – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Having symptoms of a sports-related

concussion (among those who played on a

team), past year

Being removed from play after symptoms of a

sports-related concussion (among those who

played on a team), past year


19.3(17.7 - 20.9)

51.0(46.3 - 55.8)

Grade

6th Grade 19.8(17.1 - 22.4)

51.5(43.3 - 59.7)

7th Grade 19.0(16.0 - 22.0)

49.9(41.6 - 58.3)

8th Grade 19.1(16.6 - 21.5)

51.9(44.2 - 59.5)

Gender Male 23.4

(20.9 - 25.9)51.4

(45.6 - 57.1)

Female 14.8(12.8 - 16.8)

50.2(42.0 - 58.3)

Race/Ethnicity

White, NH 19.0(16.9 - 21.1)

51.9(47.1 - 56.6)

Black, NH 20.2(12.2 - 28.2) -

Hispanic 20.8(17.0 - 24.6) -

Asian, NH - -

Multiracial, NH 29.5(20.4 - 38.7) -


Page 28 of 82

SUBSTANCE USE PERCEPTION and ACCESS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 4)


^Hearing or seeing anti-alcohol or anti-

drug ads, past 30 days^Thinking most their age

drink alcohol

^Thinking most their age smoke

cigarettes

^Thinking most their age smoke

marijuanaOverall (95% Confidence Interval)

73.0(70.3 - 75.6)

82.4(79.5 - 85.2)

36.3(31.0 - 41.5)

82.0(78.8 - 85.2)

Grade

9th Grade 70.8(66.9 - 74.7)

67.4(61.3 - 73.5)

34.1(27.7 - 40.4)

70.8(64.2 - 77.3)

10th Grade 73.6(69.1 - 78.1)

81.4(76.6 - 86.2)

36.1(27.1 - 45.1)

83.8(79.3 - 88.3)

11th Grade 75.4(70.5 - 80.2)

90.5(87.4 - 93.6)

34.9(26.9 - 43.0)

85(81.0 - 89.0)

12th Grade 72.3(68.1 - 76.6)

91.5(88.2 - 94.8)

39.7(31.7 - 47.6)

89.2(85.6 - 92.8)

Gender Male 73.6

(70.0 - 77.1)76.9

(73.0 - 80.8)32.1

(26.7 - 37.6)79.4

(75.7 - 83.2)

Female 72.3(69.5 - 75.1)

87.9(85.4 - 90.5)

40.3(34.6 - 46.0)

84.7(81.2 - 88.1)

Race/Ethnicity

White, NH 76.9(74.3 - 79.5)

81.9(78.5 - 85.4)

30.4(24.8 - 36.0)

80.2(76.6 - 83.8)

Black, NH 63.9(54.4 - 73.4)

85.5(80.7 - 90.4)

51.3(42.1 - 60.5)

87.6(83.1 - 92.1)

Hispanic 64.7(58.4 - 71.1)

86.7(82.9 - 90.4)

50.5(42.9 - 58.2)

89.6(86.1 - 93.1)

Asian, NH 62.6(53.8 - 71.3)

73.1(63.3 - 82.8)

41.3(29.6 - 52.9)

72.6(63.2 - 82.1)



(71.1 - 76.2)82.8

(79.9 - 85.6)35.4

(30.1 - 40.6)82.3


70.9(63.9 - 77.8)

82.5(76.9 - 88.0)

40.5(31.7 - 49.4)

84.1(78.6-89.6)


Page 29 of 82

SUBSTANCE USE PERCEPTION and ACCESS – MASSACHUSETTSHIGH SCHOOL STUDENTS (PART 2 OF 4)


^Thinking most their age use other

illegal drugs

^Thinking the risk of harm from binge

drinking is moderate or great

^Thinking the risk of harm from marijuana is moderate or great

^Thinking the risk of harm from inhalants is

moderate or greatOverall (95% Confidence Interval)

39.7(35.9 - 43.4)

79.3(77.0 - 81.6)

33.5(30.8 - 36.3)

86.2(84.5 - 87.8)

Grade

9th Grade 39.3(33.5 - 45.1)

82.5(78.7 - 86.3)

47.5(42.6 - 52.4)

83.7(80.7 - 86.6)

10th Grade 40.4(34.9 - 46.0)

78.6(74.5 - 82.7)

31.2(26.7 - 35.6)

84.7(82.1 - 87.2)

11th Grade 39.3(34.0 - 44.5)

80.1(75.9 - 84.3)

30.5(25.6 - 35.4)

89.1(86.5 - 91.8)

12th Grade 39.3(31.7 - 47.0)

76.4(71.4 - 81.4)

24.0(19.9 - 28.1)

87.7(84.6 - 90.9)

Gender Male 35.2

(30.8 - 39.5)74.9

(71.7 - 78.0)27.6

(24.4 - 30.8)85.5

(83.3 - 87.8)

Female 44.2(39.8 - 48.7)

83.9(81.4 - 86.4)

39.6(36.0 - 43.2)

87.1(84.9 - 89.2)

Race/Ethnicity

White, NH 35.3(31.0 - 39.5)

79.1(76.4 - 81.8)

31.0(27.8 - 34.1)

86.0(84.1 - 87.9)

Black, NH 53.6(47.5 - 59.8)

77.3(70.3 - 84.4)

41.4(32.0 - 50.8)

87.2(82.3 - 92.1)

Hispanic 50.9(44.3 - 57.4)

77.7(73.5 - 81.8)

34.7(30.4 - 39.0)

84.6(80.4 - 88.8)

Asian, NH 36.3(24.4 - 48.2)

88.4(81.1 - 95.8)

50.6(42.8 - 58.5)

88.8(83.0 - 94.7)


Sexual Orientation


79.5(77.1 - 81.9)

34.4(31.5 - 37.2)

86.5(84.8 - 88.3)


44.4(37.3 - 51.5)

82.0(76.8 - 87.3)

19.5(14.7 - 24.3)

85.5(80.4 - 90.5)


Page 30 of 82

SUBSTANCE USE PERCEPTION and ACCESS – MASSACHUSETTSHIGH SCHOOL STUDENTS (PART 3 OF 4)


Page 31 of 82


^Thinking the risk of harm from heroin is moderate or great

^Thinking the risk of harm from narcotics is moderate or great

^Thinking the risk of harm from Ritalin/Adderall is moderate or great


96.7(95.9 - 97.5)

90.3(89.0 - 91.7)

75.1(72.3 - 77.9)

Grade

9th Grade 96.7(95.1 - 98.3)

88.7(86.0 - 91.4)

79.5(75.7 - 83.2)

10th Grade 96.2(94.6 - 97.8)

89.5(87.2 - 91.8)

75.1(70.6 - 79.5)

11th Grade 97.8(96.4 - 99.2)

92.6(89.7 - 95.5)

75.3(70.1 - 80.4)

12th Grade 96.1(94.2 - 98.0)

90.8(88.4 - 93.1)

70.4(63.3 - 77.4)

Gender Male 96.0

(94.8 - 97.3)89.4

(87.3 - 91.4)68.6

(64.6 - 72.6)

Female 97.4(96.4 - 98.3)

91.6(89.5 - 93.6)

81.5(79.0 - 84.0)

Race/Ethnicity

White, NH 98.1(97.4 - 98.8)

91.4(89.8 - 93.0)

72.8(69.4 - 76.2)

Black, NH 92.9(88.6 - 97.1)

86.9(81.9 - 91.9)

82.0(76.6 - 87.5)

Hispanic 92.8(89.9 - 95.8)

87.4(84.9 - 89.9)

80.6(77.6 - 83.7)

Asian, NH 97.3(94.0 - 100.0)

90.9(86.0 - 95.8)

80.7(74.3 - 87.1)

Multiracial, NH - - -


(96.5 - 97.9)90.8

(89.4 - 92.2)75.6


94.5(91.3 - 97.7)

87.8(83.2 - 92.4)

72.9(65.1 - 80.7)

Page 32 of 82

SUBSTANCE USE PERCEPTION and ACCESS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 4 OF 4)


^Thinking the risk of harm from tranquilizers is moderate or great

^Thinking it is very or fairly easy toget alcohol

^Thinking it is very orfairly easy to get marijuana

Overall(95% Confidence Interval)

89.9(88.7 - 91.1)

75.2(72.3 - 78.1)

73.9(70.9 - 77.0)

Grade

9th Grade 88.6(86.2 - 90.9)

65.7(60.6 - 70.9)

55.1(50.0 - 60.2)

10th Grade 89.3(86.6 - 91.9)

72.3(67.4 - 77.3)

73.6(68.1 - 79.0)

11th Grade 92.2(89.6 - 94.9)

78.9(74.2 - 83.7)

79.5(75.1 - 83.9)

12th Grade 89.8(87.5 - 92.1)

83.2(78.7 - 87.7)

86.2(82.1 - 90.3)

Gender Male 88.5

(86.7 - 90.4)74.8

(71.2 - 78.5)77.3

(73.8 - 80.8)

Female 91.4(89.7 - 93.2)

75.4(71.8 - 79.0)

70.9(67.4 - 74.5)

Race/Ethnicity

White, NH 91.0(89.8 - 92.3)

76.8(73.6 - 80.0)

75.3(71.8 - 78.8)

Black, NH 88.9(84.1 - 93.6)

65.0(54.3 - 75.7)

69.1(57.7 - 80.4)

Hispanic 85.3(82.3 - 88.2)

75.0(70.1 - 79.8)

75.9(70.6 - 81.3)

Asian, NH 92.5(87.2 - 97.7) - -



(89.1 - 91.6)75.0

(72.0 - 77.9)73.4


87.2(82.3 - 92.1)

78.9(71.9 - 85.9)

81.1(74.1 - 88.1)


Page 33 of 82

SUBSTANCE USE PERCEPTION and ACCESS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 1 OF 2)


Having heard or seen ads for alcohol,

past 30 days

Having heard or seen anti-alcohol or anti-

drug ads, past 30 days

Thinking most their age drink

alcohol

Thinking most their age smoke cigarettes


63.6 (61.0 - 66.3)

66.8 (64.6 - 69.1)

20.7 (17.3 - 24.1)

19.7 (16.9 - 22.6)

Grade

6th Grade 54.2 (50.6 - 57.8)

61.9 (58.9 - 64.9)

8.9(5.4 - 12.4)

11.2 (7.8 - 14.6)

7th Grade 65.9 (62.3 - 69.5)

68.7 (65.5 - 71.9)

20.1(15.4 - 24.8)

21.4 (17.5 - 25.3)

8th Grade 70.3 (66.1 - 74.4)

69.8 (66.4 - 73.2)

32.9(26.9 - 38.8)

26.3 (21.5 - 31.0)

Gender Male 65.8

(62.3 - 69.3)66.5

(63.7 - 69.4)15.6

(12.8 - 18.4)16.3

(13.6 - 19.0)

Female 61.1 (58.0 - 64.1)

67.6 (65.0 - 70.1)

25.7(21.2 - 30.3)

23.0 (19.4 - 26.7)

Race/Ethnicity

White, NH 67.9 (65.0 - 70.9)

70.8 (68.1 - 73.5)

15.0(12.2 - 17.8)

15.4 (12.6 - 18.3)

Black, NH 59.7 (52.4 - 67.0)

63.7 (56.8 - 70.5)

30.2(22.2 - 38.2)

28.4 (21.5 - 35.4)

Hispanic 57.0 (52.1 - 62.0)

60.7 (57.0 - 64.5)

41.9(35.7 - 48.2)

32.5 (28.0 - 36.9)

Asian, NH 54.3 (45.5 - 63.1)

63.1 (55.0 - 71.2)

17.3(9.6 - 25.0)

22.3 (12.5 - 32.0)

Multiracial, NH

70.1 (59.9 - 80.4)

68.7 (59.7 - 77.7)

28.8(18.8 - 38.8)

26.1 (16.7 - 35.5)


Page 34 of 82

SUBSTANCE USE PERCEPTION and ACCESS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 2 OF 2)


Thinking most their age smoke

marijuana

Thinking most their age use

other illegal drugs

Thinking the risk of harm from

binge drinking is moderate to great

Thinking it’s very or fairly easy to get

alcohol

Thinking it’s very or fairly easy to get marijuana


26.8(22.9 - 30.7)

15.3(12.8 - 17.7)

80.6(78.1 - 83.2)

38.2(35.5 - 41.0)

18.0(15.1 - 20.8)

Grade

6th Grade 9.0(5.7 - 12.3)

7.6(4.8 - 10.4)

80.9(77.4 - 84.4)

18.9(16.0 - 21.9)

3.9(2.5 - 5.4)

7th Grade 28.8(23.3 - 34.3)

16.8(13.2 - 20.5)

80.2(76.6 - 83.7)

39.4(35.8 - 43.0)

17.1(13.8 - 20.3)

8th Grade 42.1(35.5 - 48.6)

21.1(16.9 - 25.2)

81.1(77.4 - 84.9)

53.5(49.3 - 57.8)

31.6(26.6 - 36.5)

Gender Male 23.9

(20.3 - 27.5)11.8

(9.8 - 13.9)79.2

(76.2 - 82.1)36.6

(33.5 - 39.6)19.3

(15.7 - 22.8)

Female 29.9(25.0 - 34.9)

18.7(15.3 - 22.1)

82.4(79.7 - 85.0)

40.0(36.0 - 44.0)

16.6(13.5 - 19.7)

Race/Ethnicity

White, NH 21.8(18.0 - 25.5)

11.5(9.3 - 13.8)

84.7(82.4 - 87.0)

40.3(36.8 - 43.8)

15.9(12.7 - 19.1)

Black, NH 34.9(26.4 - 43.3)

21.1(14.2 - 28.0)

76.1(68.2 - 84.1)

29.7(20.3 - 39.0) -

Hispanic 48.5(42.4 - 54.6)

29.8(25.8 - 33.8)

68.4(63.4 - 73.4)

38.9(34.4 - 43.4)

28.7(23.3 - 34.1)

Asian, NH 17.2(8.0 - 26.5)

14.2(7.8 - 20.6)

86.0(78.3 - 93.6) - -

Multiracial, NH 33.4(23.1 - 43.7)

15.6(8.4 - 22.8)

78.8(72.7 - 84.8) - -


Page 35 of 82

ALCOHOL USE - MASSACHUSETTS HIGH SCHOOL STUDENTS


Ever drinking alcohol

Drinking alcohol before age 13

Drinking alcohol,past 30 days

Binge drinking, past 30 days


61.3(58.3 - 64.2)

12.9(11.2 - 14.8)

33.9(30.9 - 36.9)

17.7(15.4 - 20.4)

Grade

9th Grade 44.2(39.7 - 48.8)

12.9(10.4 - 15.9)

19.8(17.1 - 22.8)

7.8(5.6 - 10.8)

10th Grade 59.0(54.4 - 63.5)

12.9(10.0 - 16.6)

29.0(24.4 - 34.1)

16.0(12.5 - 20.2)

11th Grade 67.5(63.4 - 71.3)

14.3(11.2 - 17.9)

36.5(31.4 - 41.9)

20.2(15.4 - 26.1)

12th Grade 75.3(69.7 - 80.1)

10.9(8.1 - 14.6)

51.3(45.0 - 57.6)

27.8(22.2 - 34.2)

GenderMale 58.8

(55.1 - 62.3)14.1

(11.9 - 16.7)33.7

(30.4 - 37.1)19.9

(16.9 - 23.4)

Female 63.6(60.2 - 66.9)

11.1(8.9 - 13.8)

34.0(30.4 - 37.9)

15.5(13.3 - 17.9)

Race/Ethnicity

White, NH 62.5(58.8 - 66.0)

10.0(8.7 - 11.5)

36.8(33.0 - 40.7)

19.7(17.1 - 22.6)

Black, NH 54.4(44.3 - 64.1)

18.0(12.3 - 25.6)

23.9(17.3 - 32.1)

8.7(5.3 - 13.8)

Hispanic 64.4(59.2 - 69.3)

20.0(16.3 - 24.3)

31.1(27.4 - 34.9)

16.7(13.1 - 21.0)

Asian, NH 48.0(39.3 - 57.0)

10.9(5.6 - 20.4)

23.1(16.0 - 32.2)

10.3(5.0 - 20.2)

Multiracial, NH 76.4(68.9 - 82.5)

14.4(8.2 - 24.1)

42.8(31.5 - 54.9)

29.0(18.6 - 42.1)

Sexual Orientation


11.8(10.0- 13.9)

34.2(31.1-37.5)

17.9(15.5-20.7)


71.8(65.3-77.6)

22.5(17.3-28.7)

36.3(30.5-42.5)

19.5(15.1-24.7)


Page 36 of 82


Page 37 of 82

ALCOHOL USE – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Ever drinking alcohol

Drinking alcohol,past 30 days

Binge drinking, past 30 days


12.9(10.9 - 14.8)

4.4(3.2 - 5.6)

1.5(1.0 - 2.1)

Grade

6th Grade 5.9(4.3 - 7.5) - -

7th Grade 12.4(9.9 - 14.9)

3.9(2.3 - 5.4)

1.6(0.7 - 2.4)

8th Grade 19.8(15.8 - 23.7)

7.7(5.2 - 10.1)

2.6(1.4 - 3.7)

Gender Male 12.2

(10.0 - 14.4)3.6

(2.3 - 4.9)1.4

(0.6 - 2.1)

Female 13.4(11.1 - 15.8)

5.1(3.5 - 6.7)

1.7(1.0 - 2.5)

Race/Ethnicity

White, NH 11.0(9.0 - 13.1)

3.4(2.2 - 4.5)

0.9(0.4 - 1.3)

Black, NH 11.1(6.1 - 16.0) - -

Hispanic 22.8(18.3 - 27.4)

8.6(5.6 - 11.6)

3.6(1.8 - 5.5)

Asian, NH - - -

Multiracial, NH 16.9(9.6 - 24.2) - -

Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/orthe relative standard error was >30%.

Page 38 of 82

TOBACCO USE – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 3)


Ever smoking cigarettes

Smoking cigarettes before age of 13

Smoking cigarettes,

past 30 days

Frequently smoking cigarettes (i.e. on 20+ days of the past 30 days)

Smoking cigarettes daily


27.8(24.4 - 31.5)

4.3(3.3 - 5.6)

7.7(6.1 - 9.7)

2.3(1.5 - 3.5)

1.7(1.0 - 2.7)

Grade

9th Grade 17.9(13.8 - 23.0)

4.2(2.4 - 7.2)

4.8(3.1 - 7.5)

0.9(0.4 - 1.9)

0.5(0.3 - 1.0)

10th Grade 25.7(19.2 - 33.5)

3.7(2.2 - 6.1)

6.1(3.9 - 9.5)

0.9(0.3 - 2.4)

0.6(0.2 - 1.9)

11th Grade 31.2(26.3 - 36.5)

4.9(3.7 - 6.6)

9.2(6.3 - 13.3)

3.8(2.0 - 7.0)

3.1(1.7 - 5.9)

12th Grade 36.3(31.1 - 41.9)

3.7(2.0 - 6.6)

10.3(7.6 - 13.9)

3.3(1.6 - 6.5)

2.1(0.9 - 4.5)

GenderMale 30.6

(26.8 - 34.7)5.3

(4.0 - 7.0)8.6

(6.5 - 11.3)2.8

(1.8 - 4.3)2.1

(1.3 - 3.3)

Female 24.9(21.3 - 28.9)

3.1(2.2 - 4.3)

6.7(5.2 - 8.6)

1.8(1.1 - 2.9)

1.2(0.6 - 2.3)

Race/Ethnicity

White, NH 26.5(22.5 - 30.8)

3.0(2.1 - 4.2)

8.0(6.1 - 10.5)

2.4(1.4 - 4.2)

1.8(1.0 - 3.4)

Black, NH 27.4(19.5 - 36.9)

4.3(2.1 - 8.5)

4.5(2.3 - 8.9)

1.1(0.3 - 4.4)

0.4(0.0 - 2.9)

Hispanic 33.3(29.3 - 37.6)

8.1(5.6 - 11.5)

8.2(6.5 - 10.4)

2.5(1.7 - 3.6)

1.9(1.1 - 3.4)

Asian, NH 20.4(8.6 - 41.1)

4.2(1.8 - 9.4)

3.0(1.3 - 6.9)

1.4(0.3 - 5.9)

0.8(0.1 - 5.8)

Multiracial, NH - 10.0(4.7 - 20.2)

14.3(8.5 - 23.2)

4.0(1.4 - 10.9) -


(22.9-29.9)3.7

(2.8-5.0)6.9

(5.4-8.8)2.1

(1.4-3.3)1.6

1.0-2.6)Gay, Lesbian, and Bisexual

45.6(38.0-53.5)

8.8(5.9-12.9)

16.8(13.1-21.4)

3.6(2.0-6.6)

2.4(1.2-4.7)


Page 39 of 82


TOBACCO USE - MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 3)


Using cigars, past 30 days

Using smokeless tobacco (i.e.

chewing tobacco, snuff, or dip), past

30 days

Ever using electronic vapor

products

Using electronic vapor products, past

30 daysOverall (95% Confidence Interval)

10.4(8.6 - 12.5)

5.5(4.4 - 7.0)

44.8(41.8 - 47.8)

23.7(21.1 - 26.5)

Grade

9th Grade 6.6(4.7 - 9.0)

3.8(2.3 - 6.1)

30.9(26.3 - 35.9)

18.7(15.4 - 22.5)

10th Grade 8.6(5.9 - 12.3)

4.5(2.8 - 7.3)

45.2(38.8 - 51.7)

22.8(18.3 - 28.0)

11th Grade 11.1(8.0 - 15.1)

6.5(4.7 - 8.9)

48.9(43.6 - 54.2)

24.8(19.8 - 30.4)

12th Grade 15.4(11.6 - 20.2)

7.1(4.6 - 10.7)

53.9(49.6 - 58.2)

28.6(24.1 - 33.5)

Gender Male 15.4

(12.6 - 18.6)9.0

(7.0 - 11.4)48.2

(44.7 - 51.6)27.3

(24.3 - 30.5)

Female 5.3(4.1 - 6.7)

1.9(1.1 - 3.2)

41.2(37.5 - 45.0)

19.9(16.9 - 23.3)

Race/Ethnicity

White, NH 11.6(9.5 - 14.1)

6.5(5.0 - 8.3)

44.2(41.2 - 47.3)

24.8(22.0 - 27.9)

Black, NH 7.0(4.3 - 11.2)

0.8(0.2 - 2.9)

45.4(37.1 - 54.0)

15.5(11.2 - 21.1)

Hispanic 8.1(6.1 - 10.7)

4.9(3.1 - 7.7)

48.8(43.8 - 53.9)

26.0(21.8 - 30.7)

Asian, NH 4.0(1.4 - 11.3)

0.9(0.2 - 4.2)

35.5(21.6 - 52.5)

13.5(8.2 - 21.6)

Multiracial, NH 13.98.3 - 22.4)

6.5(3.3 - 12.6) - 34.2

(24.8 - 45.1)

Sexual Orientation


5.6(4.4-7.0)

44.7(41.6-47.9)

23.3(20.6-26.1)

Gay, Lesbian, and 10.5 4.9 51.8 29.7

Page 40 of 82

Bisexual (6.7-15.9) (2.5-9.5) (44.8-58.7) (23.2-37.2)Data source: Massachusetts Youth Risk Behavior Survey 2015 unless noted (^), in which the data was from the Massachusetts Youth Health Survey 2015. Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 41 of 82

TOBACCO USE - MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 3 OF 3)


Using any tobacco (i.e. cigarette, smokeless tobacco,

cigar, or electronic vapor product), past 30 days

Using cigarettes, cigars, or smokeless

tobacco, past 30 days

^Living with someone who

smokes

^Being in the same room with someone

who smokes, past week


29.3(26.2 - 32.7)

15.9(13.6 - 18.5)

26.8(23.4 - 30.1)

33.4(30.1 - 36.7)

Grade

9th Grade 21.9(18.3 - 26.1)

9.7(7.4 - 12.8)

27.9(23.0 - 32.8)

33.9(28.9 - 38.9)

10th Grade 26.3(21.5 - 31.8)

13.0(9.6 - 17.4)

24.8(20.9 - 28.8)

31.9(27.3 - 36.5)

11th Grade 30.5(24.9 - 36.7)

17.8(13.7 - 22.8)

28.0(22.2 - 33.9)

34.4(29.1 - 39.7)

12th Grade 38.8(33.3 - 44.6)

23.1(19.1 - 27.6)

25.7(20.4 - 31.1)

33.0(27.1 - 39.0)

Gender Male 34.6

(30.9 - 38.5)21.4

(18.1 - 25.1)25.5

(22.1 - 28.9)30.5

(26.7 - 34.4)

Female 23.8(20.5 - 27.5)

10.2(8.2 - 12.5)

27.7(23.7 - 31.7)

36.5(32.3 - 40.6)

Race/Ethnicity

White, NH 30.9(27.3 - 34.7)

17.9(15.1 - 21.0)

27.7(23.3 - 32.2)

35.4(31.4 - 39.4)

Black, NH 18.7(13.8 - 24.6)

9.0(5.6 - 14.2)

22.1(16.8 - 27.3)

28.5(20.8 - 36.2)

Hispanic 31.4(26.6 - 36.6)

13.2(10.7 - 16.1)

25.5(21.5 - 29.5)

28.5(23.8 - 33.3)

Asian, NH 16.5(10.3 - 25.4)

7.4(3.9 - 13.7)

21.8(12.1 - 31.5)

25.5(17.3 - 33.7)

Multiracial, NH 43.3(33.3 - 53.9)

22.2(15.8 - 30.4) - -

Sexual Orientation


15.4(13.0 - 18.1)

25.7(22.3 - 29.1)

32.5(29.1 - 36.0)


38.9(32.3 - 45.8)

22.7(18.0 - 28.2)

40.4(32.6 - 48.3)

45.6(36.8 - 54.3)


Page 42 of 82

Page 43 of 82

TOBACCO USE - MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Ever smoking cigarettes

Smoking cigarettes,

past 30 days

Ever using smokeless

tobacco (i.e. chewing

tobacco, snuff, or dip)

Ever using cigars, cigarillos,

or little cigars

Living with someone who

smokes

Being in the same room

with someone smoking

cigarettes, past week


6.1 (4.9 - 7.3)

1.4 (0.9 - 1.9)

1.1 (0.6 - 1.6)

2.6 (1.9 - 3.3)

24.9 (22.2 - 27.6)

24.5 (22.4 - 26.5)

Grade

6th Grade 2.3(1.2 - 3.4) - - 1.0

(0.4 - 1.6)22.7

(18.8 - 26.7)21.4

(18.0 - 24.8)

7th Grade 6.8(5.0 - 8.6) - - 3.1

(2.0 - 4.2)26.1

(22.8 - 29.4)24.9

(22.3 - 27.5)

8th Grade 8.9(6.5 - 11.4)

2.3(1.2 - 3.5) - 3.6

(2.2 - 5.1)25.7

(21.2 - 30.1)26.9

(23.6 - 30.3)

Gender Male 5.5

(4.1 - 7.0)1.2

(0.6 - 1.9)1.5

(0.7 - 2.3)2.9

(1.9 - 3.8)25.1

(22.0 - 28.1)22.8

(20.4 - 25.2)

Female 6.7(5.1 - 8.2)

1.5(0.9 - 2.1)

0.8(0.3 - 1.2)

2.3(1.4 - 3.1)

24.8(21.7 - 27.8)

25.9(23.2 - 28.6)

Race/Ethnicity

White, NH 5.1(3.6 - 6.6)

1.0(0.5 - 1.5) - 2.1

(1.3 - 2.9)24.8

(21.3 - 28.3)25.8

(23.1 - 28.5)

Black, NH - - - - 20.6(14.2 - 26.9)

17.8(11.9 - 23.7)

Hispanic 10.7(8.1 - 13.2) - 1.9

(0.8 - 3.1)4.9

(2.6 - 7.2)26.5

(23.3 - 29.7)23.1

(20.2 - 26.1)

Asian, NH - - - - 24.3(16.6 - 31.9)

19.5(12.2 - 26.7)

Multiracial, NH

10.8(5.2 - 16.4) - - - 33.0

(26.2 - 39.8)35.5

(27.5 - 43.5)Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 44 of 82

Page 45 of 82

MARIJUANA USE – MASSACHUSETTS HIGH SCHOOL STUDENTS

Percentage of Massachusetts High School Students who reported: Ever using marijuana

Using marijuana, past 30 days

Using marijuana before age of 13

Ever using synthetic marijuana


40.9(37.6 – 44.4)

24.5(21.8 - 27.5)

6.3 (5.1 – 7.6)

7.9 (6.4 – 9.7)

Grade

9th Grade 23.3(18.6 – 28.9)

13.6(10.7 – 17.3)

6.1(3.9 – 9.3)

4.6(2.9 – 7.1)

10th Grade 40.2(34.9 – 45.7)

23.5(18.6 – 29.2)

6.5(4.7 – 8.9)

7.4(4.6 – 11.8)

11th Grade 46.4(40.9 – 51.9)

28.9(24.3 – 33.9)

7.1(4.6 – 10.9)

8.8(6.2 – 12.5)

12th Grade 54.9(48.4 – 61.3)

32.8(27.8 – 38.3)

4.7(2.9 – 7.5)

9.8(6.8 – 14.1)

GenderMale 41.6

(37.3 – 46.1)26.3

(23.2 – 29.7)8.5

(6.8 – 10.5)9.5

(7.6 – 11.8)

Female 40.2(36.6 – 43.9)

23.0(19.8 – 26.5)

4.0(3.1 – 5.2)

5.8(4.4 – 7.6)

Race/Ethnicity

White, NH 40.4(36.8 – 44.2)

24.9(21.9 – 28.3)

5.2(3.9 – 6.8)

7.0(5.4 – 9.1)

Black, NH 42.4(36.5 – 48.6)

21.2(16.0 – 27.5)

8.6(5.5 – 13.3)

7.0(4.7- 10.4)

Hispanic 46.9(41.8 – 52.0)

27.2(23.6 – 31.1)

10.2(8.0 – 13.1)

11.2(8.4 – 14.8)

Asian, NH 25.8(14.1 – 42.5)

15.2(7.6 – 28.0)

0.9(0.1 – 6.8)

3.5(1.4 – 8.6)

Multiracial, NH - 45.8(34.2 – 57.9)

13.1(7.9 – 21.0)

15.5(9.1 – 25.1)

Sexual Orientation

Heterosexual 40.5(37.0 – 44.1)

24.4(21.7 – 27.3)

5.8(4.7 – 7.3)

7.5(6.0 – 9.4)


50.0(42.8 – 57.2)

28.7(22.3 – 36.0)

8.4(5.5 – 12.5)

10.8(7.2 – 15.8)


Page 46 of 82


MARIJUANA USE – MASSACHUSETTS MIDDLE SCHOOL STUDENTS

Percentage of Massachusetts Middle School Students who reported: Ever using marijuana

Using marijuana, past 30 days


5.9(4.6 - 7.3)

2.4(1.7 - 3.1)

Grade

6th Grade 1.7(0.8 - 2.6) -

7th Grade 5.7(4.0 - 7.5)

1.8(0.9 - 2.8)

8th Grade 10.1(7.3 - 12.8)

4.8(3.2 - 6.4)

Gender Male 5.9

(4.3 - 7.4)2.1

(1.2 - 2.9)

Female 6.0(4.5 - 7.6)

2.8(1.8 - 3.7)

Race/Ethnicity

White, NH 4.6(3.2 - 6.0)

2.0(1.2 - 2.9)

Black, NH - -

Hispanic 12.7(8.9 - 16.5)

4.2(2.4 - 6.1)

Asian, NH - -

Multiracial, NH - -Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 47 of 82

SUBSTANCE USE ON SCHOOL PROPERTY – MASSACHUSETTS HIGH SCHOOL STUDENTS

Percentage of Massachusetts High School students who reported:

Using alcohol at school, past 30 days

Using marijuana at school, past 30 days

Being offered, sold, or given drugs at school,

past yearOverall (95% Confidence Interval)

3.4(2.7 - 4.3)

4.9(3.8 - 6.3)

20.3(18.6 - 22.2)

Grade

9th Grade 3.3(2.0 - 5.6)

3.9(2.2 - 6.7)

17.1(14.9 - 19.5)

10th Grade 3.3(2.0 - 5.3)

4.5(2.6 - 7.7)

22.5(18.7 - 26.7)

11th Grade 3.4(2.1 - 5.3)

5.5(3.7 - 8.3)

19.2(15.7 - 23.2)

12th Grade 3.7(2.1 - 6.2)

5.4(3.4 - 8.4)

22.3(18.2 - 27.0)

GenderMale 4.5

(3.4 - 5.9)5.9

(4.5 - 7.8)22.9

(20.7 - 25.3)

Female 2.2(1.3 - 3.5)

3.6(2.4 - 5.3)

17.6(15.6 - 19.7)

Race/Ethnicity

White, NH 2.4(1.8 - 3.1)

3.6(2.5 - 5.2)

19.2(16.9 - 21.8)

Black, NH 6.6(3.3 - 12.7)

5.1(2.5 - 10.1)

20.6(15.5 - 26.8)

Hispanic 6.8(4.6 - 9.9)

9.6(7.3 - 12.5)

27.4(23.9 - 31.2)

Asian, NH - 2.3(0.5 - 10.0)

14.3(8.9 - 22.1)

Multiracial, NH - - 26.3(15.7 - 40.4)

Sexual Orientation Heterosexual 3.2(2.3 - 4.2)

4.7(3.6 - 6.2)

20.0(18.2 - 21.9)

Page 48 of 82


5.7(3.1 - 10.3)

6.2(3.2 - 11.5)

24.1(19.1 - 29.9)


Page 49 of 82

OTHER ILLICIT DRUG USE – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 3)

Percentage of Massachusetts High School Students who reported: Ever using cocaine Ever using ecstasy

Ever using methamphetamine Ever using heroin


4.5(3.3 - 6.0)

4.3(3.3 - 5.6)

2.1(1.6 - 2.8)

1.7(1.3 - 2.3)

Grade

9th Grade 3.0(1.9 - 4.8)

2.1(1.1 - 4.0)

2.1(1.2 - 3.6)

2.2(1.2 - 3.9)

10th Grade 2.9(1.6 - 5.3)

3.9(2.2 - 6.8)

2.6(1.4 - 4.8)

1.3(0.5 - 3.2)

11th Grade 5.8(3.4 - 9.7)

5.1(3.2 - 8.1)

1.7(0.8 - 3.3)

2.0(1.1 - 3.6)

12th Grade 6.2(3.7 - 10.0)

5.3(3.3 - 8.2)

1.4(0.7 - 2.9)

0.8(0.4 - 1.8)

GenderMale 6.1

(4.6 - 8.0)5.6

(4.3 - 7.3)2.8

(2.0 - 3.8)2.3

(1.7 - 3.1)

Female 2.6(1.7 - 4.0)

2.5(1.6 - 4.0)

1.0(0.5 - 1.8)

0.8(0.4 - 1.4)

Race/Ethnicity

White, NH 3.7(2.5 - 5.5)

3.2(2.4 - 4.3)

1.1(0.8 - 1.6)

0.8(0.4 - 1.4)

Black, NH 3.0(1.4 - 6.2)

2.8(1.2 - 6.7)

2.2(1.0 - 5.0)

1.7(0.7 - 4.0)

Hispanic 7.6(4.9 - 11.6)

6.4(3.8 - 10.5)

4.3(2.6 - 6.9)

3.5(2.2 - 5.6)

Asian, NH 2.2(0.5 - 9.2)

4.9(1.7 - 13.1) - 1.1

(0.1 - 7.8)

Multiracial, NH - - 4.4(1.6 - 11.5)

5.6(2.2 - 13.8)


(3.0 - 5.8)3.8

(2.8 - 5.2)1.7

(1.2 - 2.4)1.3


6.8(3.9 - 11.7)

7.6(4.2 - 13.4)

4.3(2.0 - 8.9)

4.3(2.0 - 9.0)


Page 50 of 82

Page 51 of 82



Using an inhalant, past 30 days

Êver using prescription drugs

(not their own)

Ûsing prescription drugs (not their

own), past 30 daysÊver injecting an

illegal drugOverall (95% Confidence Interval)

2.6(2.0 - 3.5)

11.3(9.6 - 12.9)

3.6(2.6 - 4.5)

1.1(0.7 - 1.6)

Grade

9th Grade 2.7(1.6 - 4.7)

7.2(4.9 - 9.5)

2.4(1.0 - 3.7) -

10th Grade 2.3(1.4 - 3.7)

10.6(8.0 - 13.2)

4.4(2.6 - 6.2) -

11th Grade 3.3(2.0 - 5.3)

12.6(9.3 - 15.8)

3.9(1.8 - 6.1) -

12th Grade 1.7(0.8 - 3.6)

14.4(11.4 - 17.3)

3.4(1.8 - 5.0) -

GenderMale 3.1

(2.4 - 3.9)11.4

(9.2 - 13.7)4.2

(2.8 - 5.5)1.9

(1.1 - 2.8)

Female 2.0(1.3 - 3.0)

11.0(9.0 - 13.1)

3.0(1.8 - 4.1) -

Race/Ethnicity

White, NH 1.6(1.1 - 2.4)

10.7(8.7 - 12.6)

3.6(2.3 - 4.8) -

Black, NH 1.1(0.3 - 3.9)

10.6(5.7 - 15.4) - -

Hispanic 5.3(3.4 - 8.1)

15.1(12.5 - 17.6)

4.7(2.9 - 6.5) -

Asian, NH 3.0(0.8 - 10.4) - - -



(1.6 - 3.0)10.5

(8.9 - 12.0)3.3

(2.3 - 4.3)0.9


5.8(3.0 - 10.7)

20.1(12.7 - 27.5) - -


Page 52 of 82



Êver using other drugs*

^Currently using other drugs*, past 30 days

Êver using any drugs

Ûsing anydrug, past 30 days


44.4(41.1 - 47.8)

23.9(21.4 - 26.3)

46.3(43.0 - 49.7)

24.9(22.3 - 27.5)

Grade

9th Grade 29.6(24.1 - 35.0)

14.3(10.8 - 17.8)

31.1(25.5 - 36.7)

15.5(11.8 - 19.2)

10th Grade 44.9(39.1 - 50.8)

25.5(21.1 - 29.9)

46.4(40.5 - 52.3)

26.7(21.9 - 31.5)

11th Grade 48.7(43.6 - 53.7)

27.3(23.7 - 30.9)

50.3(45.0 - 55.5)

28.7(24.6 - 32.7)

12th Grade 54.7(47.5 - 62.0)

28.3(22.4 - 34.2)

57.6(51.0 - 64.3)

28.7(22.7 - 34.7)

GenderMale 48.6

(44.7 - 52.5)27.4

(24.1 - 30.8)50.2

(46.2 - 54.2)28.6

(25.2 - 32.0)

Female 40.4(36.3 - 44.4)

20.4(17.6 - 23.2)

42.5(38.5 - 46.6)

21.4(18.4 - 24.4)

Race/Ethnicity

White, NH 43.5(39.4 - 47.6)

24.1(21.1 - 27.0)

45.1(41.0 - 49.2)

25.1(22.0 - 28.2)

Black, NH 46.2(38.7 - 53.8)

21.7(14.4 - 28.9)

48.4(41.2 - 55.5)

22.1(14.7 - 29.4)

Hispanic 51.0(45.3 - 56.6)

26.1(22.2 - 30.1)

53.6(48.3 - 58.9)

27.5(23.5 - 31.5)

Asian, NH 24.7(16.0 - 33.4)

13.3(7.6 - 19.0)

28.3(20.3 - 36.2)

13.4(7.7 - 19.1)



(40.2 - 47.2)23.6

(21.0 - 26.1)45.4

(42.0 - 48.9)24.6


53.1(45.1 - 61.1)

27.7(20.9 - 34.6)

56.9(48.8 - 65.0)

29.0(21.9 - 36.1)

Data source: Massachusetts Youth Risk Behavior Survey 2015 unless noted (^), in which the data was from the Massachusetts Youth Health Survey 2015. Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.*Other drugs include marijuana, inhalants, cocaine, heroin, amphetamines/methamphetamines, ecstasy, and over-the-counter medicine.

Page 53 of 82

OTHER ILLICIT DRUG USE – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 1 OF 2)


Ever using prescription drugs

(not their own)

Using prescription drugs (not their

own), past 30 daysEver injecting an

illegal drugOverall (95% Confidence Interval)

3.4(2.7 - 4.2)

1.3(0.9 - 1.8)

0.7 (0.4 - 1.0)

Grade

6th Grade 2.6(1.6 - 3.6) - -

7th Grade 3.2(2.1 - 4.4)

1.2(0.5 - 1.9) -

8th Grade 4.3(3.0 - 5.7)

2.0(1.1 - 3.0) -

Gender Male 2.9

(1.9 - 3.8) - -

Female 4.1(3.0 - 5.2)

1.8(1.0 - 2.5)

0.7(0.3 - 1.1)

Race/Ethnicity

White, NH 2.7(1.9 - 3.5)

0.8(0.4 - 1.3) -

Black, NH - - -

Hispanic 4.6(2.8 - 6.3)

3.2(1.9 - 4.5) -

Asian, NH - - -

Multiracial, NH - - -Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 54 of 82

OTHER ILLICIT DRUG USE – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 2 OF 2)


Ever using other drugs*

Using other drugs*, past 30 days Ever using any drug

Using any drug, past 30 days


9.7(7.9 - 11.4)

3.9(3.0 - 4.9)

11.5 (9.7 - 13.3)

4.7 (3.6 - 5.7)

Grade

6th Grade 5.2(3.7 - 6.8)

1.6(0.8 - 2.3)

7.0(5.3 - 8.6)

1.9(1.0 - 2.7)

7th Grade 10.1(7.7 - 12.5)

3.5(2.2 - 4.8)

11.8(9.3 - 14.3)

4.1(2.8 - 5.5)

8th Grade 13.3(9.9 - 16.7)

6.4(4.5 - 8.3)

15.2(11.8 - 18.6)

7.7(5.7 - 9.8)

Gender Male 9.5

(7.3 - 11.7)3.6

(2.3 - 4.9)10.9

(8.7 - 13.1)3.9

(2.6 - 5.2)

Female 9.7(7.9 - 11.6)

4.0(2.9 - 5.0)

12(10.0 - 14.0)

5.3(4.0 - 6.5)

Race/Ethnicity

White, NH 7.4(5.7 - 9.1)

2.9(1.8 - 4.0)

8.8(7.1 - 10.6)

3.5(2.3 - 4.6)

Black, NH - - - -

Hispanic 18.8(14.5 - 23.0)

7.7(5.5 - 10.0)

20.5(16.5 - 24.6)

9.5(7.3 - 11.8)

Asian, NH - - - -

Multiracial, NH 12.3(6.1 - 18.5) - 15.7

(9.1 - 22.3) -Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.*Other drugs include marijuana, inhalants, cocaine, heroin, amphetamines/methamphetamines, ecstasy, and over-the-counter medicine.

Page 55 of 82

GAMBLING – MASSACHUSETTS HIGH SCHOOL STUDENTS


^Playing lottery or scratch tickets,

past year

^Gambling at a casino,

past year

Êngaging in other forms of

gambling*, past year

Êngaging in ANY form of gambling,


37.2(34.2 - 40.3)

2.7(2.0 - 3.5)

25.4(22.9 - 27.9)

46.2(43.3 - 49.2)

Grade

9th Grade 34.3(30.3 - 38.3) - 26.3

(22.9 - 29.7)44.0

(40.2 - 47.8)

10th Grade 35.1(30.2 - 39.9) - 25.1

(21.6 - 28.5)45.6

(40.8 - 50.3)

11th Grade 36.6(32.2 - 40.9) - 25.5

(20.5 - 30.5)45.0

(40.3 - 49.6)

12th Grade 43.6(36.5 - 50.6)

6.1(3.8 - 8.5)

24.3(19.6 - 29.1)

50.6(44.4 - 56.8)

GenderMale 39.8

(35.5 - 44.0)3.8

(2.4 - 5.2)35.9

(31.8 - 39.9)52.3

(48.1 - 56.5)

Female 34.7(31.4 - 38.0)

1.7(1.0 - 2.4)

14.9(12.9 - 17.0)

40.3(36.9 - 43.6)

Race/Ethnicity

White, NH 41.7(38.4 - 45.0)

2.2(1.4 - 3.0)

26.8(23.7 - 29.9)

50.3(47.0 - 53.5)

Black, NH 17.9(12.6 - 23.1) - 20.3

(12.2 - 28.4)28.2

(20.3 - 36.2)

Hispanic 30.1(24.7 - 35.6)

4.2(2.0 - 6.3)

21.4(16.2 - 26.6)

38.9(32.9 - 44.8)

Asian, NH 29.8(18.5 - 41.1) - 22.9

(15.2 - 30.6)41.4

(31.3 - 51.4)Multiracial, NH - - - -


(34.3 - 40.5)2.4

(1.7 - 3.1)26.3

(23.8 - 28.9)47.0


35.9(28.6 - 43.1) - 17.8

(11.8 - 23.8)39.5

(31.8 - 47.3)Data source: Massachusetts Youth Risk Behavior Survey 2015 unless noted (^), in which the data was from the Massachusetts Youth Health Survey 2015.

Page 56 of 82

Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.*Other forms of gambling include betting on sporting events, games of personal skill (e.g. pool, bowling, dominoes or darts), dice games, horse or other animal races, video poker or other gambling machines, playing cards or bingo for money or prizes, and/or gambling on the internet.

GAMBLING – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Playing lottery or scratch tickets,

past year

Gambling at a casino,

past year

Engaging in other forms of

gambling*, past year

Engaging in ANY form of gambling, past year


31.8(29.7 - 33.8)

1.1(0.7 - 1.5)

21.0(19.1 - 22.9)

40.0(37.8 - 42.3)

Grade

6th Grade 27.4(24.3 - 30.4) - 16.2

(13.3 - 19.1)33.4

(30.0 - 36.9)

7th Grade 30.1(27.1 - 33.1)

1.4(0.6 - 2.1)

21.9(19.2 - 24.5)

39.7(36.4 - 43.0)

8th Grade 37.5(33.9 - 41.1) - 24.6

(21.2 - 28.0)46.7

(43.0 - 50.4)

Gender Male 33.3

(30.6 - 36.0)1.3

(0.6 - 2.1)25.1

(22.3 - 27.9)43.8

(40.8 - 46.8)

Female 30.3(27.5 - 33.1)

0.9(0.5 - 1.3)

16.7(14.3 - 19.0)

36.2(33.3 - 39.1)

Race/Ethnicity

White, NH 35.6(33.1 - 38.1)

0.8(0.4 - 1.1)

20.9(18.5 - 23.3)

43.2(40.4 - 46.0)

Black, NH 18.9(12.5 - 25.3) - 21.2

(13.3 - 29.1)31.3

(23.5 - 39.1)

Hispanic 26.3(22.4 - 30.3) - 22.9

(18.3 - 27.6)37.3

(32.3 - 42.2)

Asian, NH 26.1(16.4 - 35.8) - 19.0

(10.4 - 27.5)31.8

(21.9 - 41.6)

Multiracial, NH 31.7(23.2 - 40.2) - 23.5

(17.0 - 30.0)39.8

(31.9 - 47.6)Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 57 of 82

*Other forms of gambling include betting on sporting events, games of personal skill (e.g. pool, bowling, dominoes or darts), dice games, horse or other animal races, video poker or other gambling machines, playing cards or bingo for money or prizes, and/or gambling on the internet.

BULLYING – MASSACHUSETTS HIGH SCHOOL STUDENTS


Being bullied at school,

past year

Being cyber-bullied,

past year

^Thinking most their age bully or

push others around

Înitiating bullying, past year

Înitiating cyber-bullying, past year


15.6(14.0 - 17.4)

13.0(11.5 - 14.6)

47.1(43.1 - 51.0)

6.6(5.5 - 7.7)

4.7(3.9 - 5.5)

Grade

9th Grade 20.1(17.0 - 23.5)

14.4 (12.2 - 17.0)

51.9(46.9 - 57.0)

4.9(3.4 - 6.5)

4.3(3.0 - 5.7)

10th Grade 15.2(13.0 - 17.7)

12.6(10.7 - 14.8)

49(43.3 - 54.7)

7.5(5.7 - 9.3)

5.7(3.8 - 7.6)

11th Grade 14.5(12.0 - 17.5)

12.5(9.8 - 15.7)

42.8(36.9 - 48.6)

7.0(4.6 - 9.5)

4.2(2.5 - 5.9)

12th Grade 12.3(9.5 - 15.7)

12.4(9.1 - 16.6)

43.8(36.5 - 51.1)

7.2(4.1 - 10.3)

4.7(3.1 - 6.4)

GenderMale 12.6

(10.6 - 14.9)8.8

(7.3 - 10.5)42.3

(38.1 - 46.5)9.5

(7.4 - 11.7)5.0

(3.6 - 6.4)

Female 18.7(16.2 - 21.4)

17.4(15.2 - 19.9)

51.9(46.9 - 56.8)

3.8(2.7 - 4.9)

4.6(3.4 - 5.9)

Race/Ethnicity

White, NH 16.6(14.5 - 18.9)

14.6(12.7 - 16.8)

42.7(38.4 - 46.9)

6.6(5.4 - 7.8)

4.9(3.8 - 6.0)

Black, NH 10.1(7.7 - 13.3)

7.1(5.0 - 9.9)

67.1(60.9 - 73.3)

8.8(4.8 - 12.8) -

Hispanic 15.4(12.8 - 18.5)

11.5(8.9 - 14.8)

56(51.5 - 60.6)

5.6(3.8 - 7.3)

5.4(3.5 - 7.4)

Asian, NH 10.9(6.4 - 18.1)

4.3(2.0 - 9.2)

44.3(33.7 - 55.0) - -

Multiracial, NH 17.4(10.7 - 27.0)

16.2(10.5 - 24.3) - - -

Sexual Heterosexual 13.8 11.7 46.4 6.1 4.2Page 58 of 82

Orientation(12.3 - 15.5) (10.3 - 13.4) (42.3 - 50.4) (4.9 - 7.2) (3.4 - 5.1)


34.3(27.2 - 42.2)

26.8(20.5 - 34.2)

53.5(45.1 - 61.8)

13.2(7.7 - 18.7)

11.3(7.1 - 15.5)


Page 59 of 82

BULLYING – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Thinking most their age bully or push others

around

Beingbullied at

school,past year

Being cyber-bullied,

past year

Initiating bullying, past

year

Initiating cyber-bullying, past

yearOverall (95% Confidence Interval)

54.9(51.5 - 58.4)

32.9(30.6 - 35.2)

15.2(13.8 - 16.7)

5.1(4.2 - 6.1)

3.8(3.0 - 4.7)

Grade

6th Grade 50.9(45.7 - 56.1)

35.0(31.1 - 38.8)

14.7(12.1 - 17.3)

4.6(3.0 - 6.2)

1.9(0.9 - 2.8)

7th Grade 59.9(55.1 - 64.6)

33.7(30.2 - 37.1)

14.9(12.4 - 17.5)

6.3(4.4 - 8.1)

4.3(2.6 - 6.0)

8th Grade 54.0(49.1 - 59.0)

29.9(26.2 - 33.6)

15.8(13.5 - 18.2)

4.4(3.2 - 5.7)

5.2(3.8 - 6.7)

Gender Male 48.6

(45.1 - 52.0)28.5

(25.5 - 31.4)9.1

(7.6 - 10.5)5.9

(4.6 - 7.2)3.5

(2.5 - 4.5)

Female 61.6(57.4 - 65.9)

37.2(34.1 - 40.4)

21.5 (19.1 - 23.9)

4.3(3.2 - 5.3)

4.2(3.1 - 5.4)

Race/Ethnicity

White, NH 51.1(47.2 - 55.0)

33.8(30.9 - 36.7)

15.5(13.5 - 17.4)

3.6(2.7 - 4.4)

3.2(2.2 - 4.1)

Black, NH 65.0(58.3 - 71.7)

24.3(17.6 - 31.1)

13.4(8.4 - 18.5)

10.3(6.6 - 14.1)

6.7(3.0 - 10.4)

Hispanic 65.8(61.3 - 70.3)

32.8(28.4 - 37.2)

15.0(12.1 - 18.0)

8.2(6.0 - 10.5)

4.8(2.9 - 6.8)

Asian, NH 59.6(49.6 - 69.6)

33.3(24.3 - 42.2)

14.3(8.6 - 19.9)

11.1(4.7 - 17.5) -

Multiracial, NH 61.5(51.9 - 71.1)

40.3(30.9 - 49.8)

18.7(12.0 - 25.4) - -


Page 60 of 82

DATING and SEXUAL VIOLENCE – MASSACHUSETTS HIGH SCHOOL STUDENTS


Being a victim of physical

dating violence, past

year

Being a victim of sexual dating

violence, past year

Ever having sexual contact against

their will

Ever being physically forced

to have sexual intercourse

^Having their activity monitored by someone they were dating, past


6.7(5.1 - 8.6)

7.5(6.2 - 9.0)

9.2(8.0 - 10.5)

5.5(4.4 - 6.8)

24.3(21.9 - 26.7)

Grade

9th Grade 4.4(2.7 - 7.1)

7.6(5.0 - 11.4)

5.9(4.1 - 8.4)

5.1(3.4 - 7.6)

20.7(16.2 - 25.1)

10th Grade 7.8(4.8 - 12.4)

8.3(6.1 - 11.3)

9.9(7.7 - 12.7)

5.0(3.6 - 7.1)

26.2(21.1 - 31.2)

11th Grade 6.1(4.4 - 8.5)

7.4(5.3 - 10.2)

8.3(6.6 - 10.4)

4.9(3.6 - 6.5)

22.9(17.4 - 28.4)

12th Grade 7.6(4.6 - 12.1)

6.4(4.5 - 9.1)

12.6(9.4 - 16.6)

6.6(4.2 - 10.1)

27.6(22.6 - 32.6)

GenderMale 4.1

(2.7 - 6.3)3.7

(2.5 - 5.7)5.2

(4.0 - 6.7)3.3

(2.3 - 4.8)22.8

(19.6 - 26.0)

Female 9.3(7.3 - 11.8)

11.2(8.9 - 14.0)

13.3(11.1 - 15.8)

7.6(6.0 - 9.6)

25.8(22.3 - 29.2)

Race/ Ethnicity

White, NH 5.7(4.3 - 7.5)

6.6(5.2 - 8.4)

8.3(7.0 - 10.0)

4.4(3.2 - 6.0)

24.1(21.2-27.1)

Black, NH 11.4(4.6 - 25.5)

9.9(5.5 - 17.1)

8.9(4.5 - 16.8)

8.3(5.6 - 12.0)

22.9(17.3-28.6)

Hispanic 9.6(6.3 - 14.3)

9.3(6.4 - 13.4)

13.9(11.5 - 16.8)

7.0(4.6 - 10.4)

29.0(24.8-33.1)

Asian, NH - - 6.1(2.2 - 15.9)

5.5(3.2 - 9.4) -

Multiracial, NH - - - 13.0(7.3 - 22.3) -

Sexual Orientation


6.4(5.1-8.0)

7.3(6.2-8.7)

4.5(3.6-5.7)

23.1(20.6 - 25.5)


11.9(7.0-19.5)

15.4(10.3-22.3)

24.2(20.1-28.8)

12.9(8.7-18.7)

36.2(28.0 - 44.4)


Page 61 of 82


DATING and FAMILY VIOLENCE – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Being the victim of dating

violence, past year

Having their activity

monitored by someone they

were dating, past year

Threatening to hurt, physically

hurt, or try to hurt a date, past year

Being physically hurt by someone

in their family, past year

Witnessing violence in their family, past year


3.6(2.7 - 4.6)

15.5(13.5 - 17.5)

1.2(0.8 - 1.7)

8.0(6.9 - 9.0)

8.6(7.5 - 9.8)

Grade

6th Grade 2.6(1.4 - 3.9)

16.1(12.1 - 20.0) - 8.7

(6.8 - 10.6)7.1

(5.1 - 9.1)

7th Grade 3.8(2.0 - 5.6)

13.9(10.5 - 17.3)

1.9(0.9 - 2.8)

7.8(6.1 - 9.6)

9.2(7.5 - 11.0)

8th Grade 4.0(2.3 - 5.6)

16.7(13.7 - 19.7)

1.1(0.5 - 1.8)

7.2(5.5 - 8.8)

9.5(7.4 - 11.6)

Gender Male 2.7

(1.6 - 3.9)15.5

(13.2 - 17.7)1.2

(0.5 - 1.8)8.4

(6.8 - 9.9)8.0

(6.6 - 9.4)

Female 4.4(3.1 - 5.8)

15.7(13.0 - 18.5)

1.2(0.6 - 1.7)

7.1(5.8 - 8.4)

9.4(7.8 - 11.1)

Race/Ethnicity

White, NH 2.9(1.9 - 3.9)

12.0(9.7 - 14.2) - 7.0

(5.6 - 8.4)7.4

(6.0 - 8.7)

Black, NH - 18.5(11.8 - 25.2) - 9.8

(5.6 - 13.9)9.6

(5.8 - 13.4)

Hispanic 4.9(3.0 - 6.9)

21.6(17.3 - 25.9)

2.7(1.4 - 4.1)

8.3(5.8 - 10.7)

11.3(8.8 - 13.8)

Asian, NH - - - 15.6(9.0 - 22.2) -

Multiracial, NH - - - 11.2(5.6 - 16.9)

12.9(6.5 - 19.2)


Page 62 of 82

Page 63 of 82

OTHER VIOLENCE and VIOLENCE-RELATED EXPERIENCES –MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 2)


Being involved in a

fight, past year

Being injured in a fight, past year

Carrying a weapon, past 30 days

Carrying a gun, past 30 days

Being a member of a gang, past


19.2(16.7 - 22.0)

2.0(1.4 - 2.8)

12.6(10.4 - 15.3)

2.7(2.1 - 3.5)

8.0(6.8 - 9.4)

Grade

9th Grade 19.8(16.1 - 24.0)

2.1(1.4 - 3.3)

11.3(8.6 - 14.8)

2.8(1.9 - 4.3)

6.6(5.0 - 8.6)

10th Grade 22.3(18.5 - 26.7)

2.2(1.3 - 3.6)

10.2(7.9 - 13.1)

2.5(1.4 - 4.5)

9.5(6.5 - 13.8)

11th Grade 18.0(13.9 - 23.2)

2.0(1.0 - 3.8)

14.2(10.9 - 18.2)

3.1(1.9 - 5.2)

8.2(6.2 - 10.8)

12th Grade 15.4(11.2 - 20.6)

1.2(0.6 - 2.7)

13.7(10.6 - 17.6)

2.2(1.3 - 3.8)

7.1(5.2 - 9.6)

GenderMale 26.8

(23.7 - 30.1)2.7

(1.8 - 3.9)19.9

(16.7 - 23.5)4.5

(3.6 - 5.7)8.6

(6.9 - 10.6)

Female 11.4(9.3 - 14.0)

1.2(0.6 - 2.3)

5.0(3.7 - 6.8)

0.9(0.5 - 1.8)

7.3(5.8 - 9.2)

Race/Ethnicity

White, NH 17.5(14.8 - 20.7)

2.0(1.3 - 3.1)

12.4(9.9 - 15.4)

2.1(1.4 - 3.1)

6.1(5.1 - 7.2)

Black, NH 23.5(14.5 - 35.7)

2.2(0.5 - 9.0)

11.3(6.8 - 18.3)

1.9(0.8 - 4.8)

16.0(11.7 - 21.4)

Hispanic 25.9(20.4 - 32.1)

2.4(1.1 - 5.1)

13.9(10.9 - 17.6)

5.5(3.6 - 8.5)

13.3(9.0 - 19.2)

Asian, NH 11.4(6.1 - 20.4) - 7.5

(3.5 - 15.2)2.8

(0.9 - 8.7)4.0

(1.6 - 9.5)

Multiracial, NH 31.4(21.5 - 43.4) - 14.9

(10.3 - 21.1) - -

Sexual Orientation


1.7(1.2-2.5)

12.3(10.0-15.0)

2.6(1.9-3.5)

7.6(6.3-9.2)


22.7(16.5-30.5)

4.1(1.8-9.0)

17.7(12.4-24.7)

3.4(1.5-7.6)

10.7(6.4-17.3)


Page 64 of 82


Page 65 of 82

OTHER VIOLENCE and VIOLENCE-RELATED EXPERIENCES AT SCHOOL – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 2)


Skipping school because they felt unsafe, past 30

days

Being threatened or injured with a weapon

at school, past yearCarrying a weapon at school, past 30 days

Being in a physical fight at school, past year


4.8(3.9 - 5.9)

4.1(3.2 - 5.1)

3.2(2.5 - 4.1)

5.6(4.5 - 7.0)

Grade

9th Grade 4.7(3.4 - 6.7)

4.2(3.0 - 6.0)

3.1(1.9 - 4.9)

5.8(4.0 - 8.3) 731

10th Grade 4.3(3.2 - 5.7)

3.6(2.4 - 5.4)

2.7(1.6 - 4.6)

6.0(4.3 - 8.5)

11th Grade 4.7(3.3 - 6.7)

4.4(3.1 - 6.1)

3.5(2.1 - 5.9)

5.4(3.6 - 8.2)

12th Grade 5.2(3.4 - 7.8)

3.0(1.7 - 5.2)

2.8(1.6 - 5.0)

4.8(2.9 - 8.0)

GenderMale 3.8

(2.9 - 5.0)5.0

(3.9 - 6.4)4.6

(3.5 - 5.8)7.7

(6.4 - 9.2)

Female 5.8 (4.6 - 7.3)

2.8(2.0 - 4.0)

1.6(1.0 - 2.6)

3.3(2.1 - 5.2)

Race/Ethnicity

White, NH 3.9(3.0 - 4.9)

3.2(2.4 - 4.3)

2.1(1.5 - 3.1)

4.3(3.3 - 5.4)

Black, NH 6.2(4.0 - 9.4)

5.4(2.7 - 10.8)

3.8(1.8 - 7.7)

8.7(4.0 - 17.8)

Hispanic 8.2(6.0 - 11.3)

6.4(4.9 - 8.2)

6.3(4.4 - 9.1)

9.2(6.8 - 12.4)

Asian, NH 2.5(0.7 - 8.4)

0.8(0.2 - 3.9)

1.1(0.1 - 7.7)

3.9(1.7 - 8.8)


4.5(2.1 - 9.2)

8.5(4.5 - 15.5)

9.5(5.3 - 16.4)

Sexual Orientation


3.5(2.7-4.6)

2.8(2.1-3.8)

5.3(4.3-6.6)


13.4(8.8-20.0)

6.7(3.5-12.5)

7.6(4.2-13.4)

9.0(5.6-13.9)


Page 66 of 82

Page 67 of 82

MENTAL HEALTH and SUICIDALITY – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 2)


Feeling sad or hopeless for 2+ weeks that they stopped doing usual activities, past

year

Injuring oneself intentionally without wanting to die,

past yearSeriously considering suicide,


27.4(25.5 - 29.4)

18.0(16.2 - 19.9)

14.9(13.1 - 16.8)

Grade

9th Grade 23.4(20.3 - 27.0)

17.7(15.3 - 20.3)

13.1(10.9 - 15.7)

10th Grade 27.2(22.0 - 33.1)

18.6(15.0 - 22.8)

15.2(11.7 - 19.5)

11th Grade 29.9(26.1 - 34.0)

18.8(16.0 - 22.0)

16.1 (12.5 - 20.3)

12th Grade 28.9(23.6 - 34.8)

16.2(12.5 - 20.6)

14.5(10.2 - 20.1)

GenderMale 19.9

(17.5 - 22.6)11.5

(9.7 - 13.6)12.2

(10.4 - 14.3)

Female 34.8(32.1 - 37.7)

24.4(21.9 - 27.2)

17.4(15.2 - 19.9)

Race/Ethnicity

White, NH 25.1(22.9 - 27.3)

18.4(16.3 - 20.7)

14.4(12.4 - 16.8)

Black, NH 29.4(23.4 - 36.3)

10.3(6.2 - 16.5)

16.8(12.0 - 22.9)

Hispanic 34.9(30.1 - 40.1)

21.4(17.7 - 25.8)

16.8(13.6 - 20.5)

Asian, NH 30.4(22.1 - 40.1)

13.4(7.2 - 23.6)

11.0(5.5 - 21.0)

Multiracial, NH 32.4(22.8 - 43.7)

27.1(19.6 - 36.3)

17.2(10.6 - 26.8)

Sexual Orientation


14.5(12.9-16.2)

11.3(9.6-13.3)


61.1(54.3-67.6)

49.7(41.8-57.5)

48.2(41.8-54.7)


Page 68 of 82


Page 69 of 82

MENTAL HEALTH and SUICIDALITY – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 2)


Making a suicide plan, past year

Attempting suicide, past year

Attempting suicide that resulted in an injury, poisoning

or overdose that had to be treated by a doctor or nurse,


11.9(10.6 - 13.4)

7.0(6.0 - 8.2)

2.8(2.2 - 3.6)

Grade

9th Grade 10.0(7.7 - 13.0)

7.2(4.8 - 10.6)

2.1(1.2 - 3.7)

10th Grade 12.4(9.8 - 15.7)

8.0(6.4 - 10.0)

3.5(2.2 - 5.5)

11th Grade 13.8(11.3 - 16.6)

8.0(5.8 - 10.8)

4.0(2.6 - 6.3)

12th Grade 11.5(8.4 - 15.5)

4.2(2.5 - 6.9)

1.5(0.6 - 4.0)

GenderMale 9.8

(8.3 - 11.6)5.4

(4.1 - 7.0)2.5

(1.7 - 3.8)

Female 14.0(11.9 - 16.3)

8.2(6.5 - 10.3)

2.9(2.0 - 4.2)

Race/Ethnicity

White, NH 10.7(9.1 - 12.5)

5.3(4.1 - 6.7)

1.8(1.2 - 2.8)

Black, NH 15.8(11.8 - 20.8)

7.4(4.4 - 12.0)

2.9(1.4 - 6.0)

Hispanic 13.8(10.3 - 18.2)

11.2(8.4 - 14.8)

5.0(3.0 - 8.2)

Asian, NH 13.4(9.4 - 18.6)

6.7(2.8 - 15.1)

2.5(0.6 - 10.4)

Multiracial, NH 14.2(8.6 - 22.6) - -

Sexual Orientation


5.2(4.3-6.3)

2.3(1.7-3.1)


34.7(28.4-41.5)

24.8(19.1-31.5)

6.4(3.5-11.5)


Page 70 of 82


Page 71 of 82

MENTAL HEALTH and SUICIDALITY – MASSACHUSETTS MIDDLE SCHOOL STUDENTS


Injuring oneself intentionally without

wanting to die, past year

Feeling sad or hopeless for 2+ weeks that they

stopped doing usual activities, past year

Seriously considering suicide, past year

Attempting suicide, past year


15.8(14.2 - 17.3)

18.1(16.0 - 20.2)

8.0(6.8 - 9.2)

4.0(3.3 - 4.8)

Grade

6th Grade 13.9(11.6 - 16.2)

15.6(12.0 - 19.3)

5.0(3.5 - 6.4)

2.4(1.4 - 3.5)

7th Grade 16.2(13.4 - 18.9)

18.8(15.4 - 22.1)

8.1(6.4 - 9.9)

4.4(3.0 - 5.9)

8th Grade 17.2(14.4 - 19.9)

19.9(16.6 - 23.2)

10.8(8.5 - 13.1)

5.1(3.8 - 6.5)

Gender Male 11.5

(9.8 - 13.1)11.1

(9.2 - 12.9)4.0

(3.1 - 4.9)1.9

(1.2 - 2.6)

Female 20.3(17.9 - 22.7)

25.0(21.8 - 28.1)

12.3(10.3 - 14.3)

6.2(4.8 - 7.7)

Race/Ethnicity

White, NH 13.2(11.6 - 14.9)

14.6(12.5 - 16.6)

7.5(5.9 - 9.0)

3.2(2.4 - 4.0)

Black, NH 17.3(11.6 - 23.1)

22.4(16.6 - 28.1)

6.8(2.9 - 10.7) -

Hispanic 23.3(19.7 - 26.9)

28.6(24.4 - 32.8)

10.0(7.6 - 12.4)

7.3(5.2 - 9.4)

Asian, NH 15.2(7.3 - 23.1)

20.0(12.8 - 27.3) - -


26.7(18.2 - 35.1)

17.7(10.0 - 25.4) -


Page 72 of 82

SEXUAL BEHAVIORS and EXPERIENCES – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 2)


Page 73 of 82


Ever having sexual

intercourse

Having sexual intercourse in

the past 3 months

Having sexual intercourse before

age 13

Using a condom at last sexual intercourse

Having had sexual intercourse with 4+

partners during their life


36.4(32.4 - 40.6)

27.7(24.4 - 31.3)

2.9(2.2 - 3.8)

62.5(58.9 - 65.9)

7.9(6.2 - 10.0)

Grade

9th Grade 14.2(10.6 - 18.8)

9.8(7.1 - 13.4)

3.0(1.6 - 5.6) - 2.7

(1.3 - 5.3)

10th Grade 30.6(25.4 - 36.4)

23.8(19.5 - 28.8)

2.5(1.5 - 3.9)

67.5(56.0 - 77.2)

4.8(3.4 - 6.9)

11th Grade 41.8(37.4 - 46.4)

31.2(28.2 - 34.3)

2.4(1.3 - 4.5)

62.5(54.4 - 69.9)

7.7(5.5 - 10.8)

12th Grade 60.3(54.9 - 65.5)

47.0(42.1 - 52.0)

3.5(2.2 - 5.5)

58.9(53.3 - 64.4)

16.8(13.0 - 21.3)

Gender Male 38.3

(33.3 - 43.6)27.6

(23.3 - 32.3)4.3

(3.2 - 5.9)67.6

(63.4 - 71.5)9.8

(7.5 - 12.7)

Female 34.5(30.8 - 38.4)

27.9(24.6 - 31.4)

1.6(1.0 - 2.5)

57.4(51.6 - 63.0)

6.0(4.6 - 7.8)

Race/Ethnicity

White, NH 35.0(30.8 - 39.4)

27.3(23.9 - 30.9)

1.7(1.1 - 2.6)

63.6(59.3 - 67.6)

6.7(5.2 - 8.6)

Black, NH 39.2(30.2 - 49.1)

23.3(17.1 - 30.8)

7.8(4.0 - 14.5) - 14.0

(7.7 - 24.1)

Hispanic 43.3(38.6 - 48.2)

31.3(26.9 - 36.2)

6.5(4.3 - 9.5)

57.4(50.1 - 64.5)

11.5(8.4 - 15.6)

Asian, NH 26.8(12.7 - 47.8)

23.1(11.8 - 40.1)

1.3(0.2 - 7.4) - 4.4

(1.2 - 14.5)Multiracial, NH - - - - -

Sexual Orientation


28.3(24.9-32.0)

2.7(1.8-3.8)

7.5(5.6-9.9)


41.3(33.1-50.0)

27.9(21.8-35.0)

4.7(2.6-8.6) - 12.7

(8.7-18.1)


Page 74 of 82

SEXUAL BEHAVIORS and EXPERIENCES – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 2)


Drinking alcohol or using drugs at last sexual intercourse

Not using any method to prevent pregnancy at last sexual intercourse (among students who had sex in the

past 3 months)

Having been or gotten someone

pregnantEver being tested

for HIVOverall (95% Confidence Interval)

21.8(18.1 - 26.0)

8.6(6.5 - 11.4)

2.9(2.0 - 4.2)

9.9(8.0 - 12.2)

Grade

9th Grade - - 1.8(1.1 - 2.9)

6.1(4.2 - 8.9)

10th Grade 19.3(12.4 - 28.8)

8.5(4.3 - 16.1)

3.0(1.8 - 4.9)

8.7(6.0 - 12.5)

11th Grade 16.0(11.5 - 21.9)

11.0(7.9 - 15.2)

3.2(1.9 - 5.1)

11.6(9.0 - 14.9)

12th Grade 27.3(20.7 - 35.1)

6.2(3.6 - 10.6)

3.6(1.6 - 7.8)

13.7(10.5 - 17.7)

Gender Male 23.7

(18.7 - 29.6)8.0

(5.2 - 12.0)3.3

(2.4 - 4.6)9.9

(8.1 - 12.0)

Female 19.4(14.1 - 26.1)

9.2(6.7 - 12.6)

2.4(1.4 - 4.1)

9.6(7.1 - 12.9)

Race/Ethnicity

White, NH 20.3(16.0 - 25.4)

6.3(4.1 - 9.5)

1.6(1.0 - 2.7)

6.9(5.6 - 8.5)

Black, NH - - 3.5(1.3 - 9.1)

17.6(11.8 - 25.3)

Hispanic 19.2(14.5 - 24.9)

15.3(10.6 - 21.5)

7.2(4.9 - 10.5)

17.5(13.5 - 22.4)

Asian, NH - - 0.2(0.0 - 1.4)

10.1(5.7 - 17.2)

Multiracial, NH - - 5.9(2.2 - 15.3)

11.5(5.6 - 22.2)

Sexual Orientation


6.8(5.1-9.1)

2.9(2.0-4.3)

9.6(7.6-12.2)

Gay, Lesbian, and Bisexual - - 2.7

(1.0-6.9)12.5

(8.8-17.4)


Page 75 of 82

SEXUAL HEALTH EDUCATION – MASSACHUSETTS HIGH SCHOOL STUDENTS


Ever being taught about HIV/AIDS in

school

Ever being taught how to use condoms in

school

Ever being taught about birth control methods

in school

Not talking with parents about sexuality or

prevention of HIV, STDs, or pregnancy, past year


80.2(75.9 - 83.9)

52.1(45.9 - 58.2)

63.9(57.9 - 69.5)

60.4(58.3 - 62.4)

Grade

9th Grade 67.0 (57.9 - 75.0)

37.1 (25.9 - 49.9)

42.1(31.7 - 53.2)

61.3(57.7 - 64.7)

10th Grade 83.4 (78.2 - 87.5)

61.1 (52.3 - 69.2)

71.2(62.3 - 78.7)

58.5(53.7 - 63.2)

11th Grade 86.8 (81.9 - 90.5)

55.3 (47.6 - 62.7)

74.0(66.6 - 80.3)

58.0(53.6 - 62.3)

12th Grade 85.0 (80.7 - 88.5)

55.7 (47.0 - 64.1)

70.4(63.3 - 76.7)

63.5(57.6 - 69.0)

Gender Male 80.0

(75.7 - 83.7)53.8

(47.7 - 59.7)62.8

(57.4 - 67.9)63.9

(60.8 - 66.9)

Female 80.5 (75.4 - 84.8)

50.5 (43.4 - 57.6)

65.0(57.6 - 71.8)

56.8(54.0 - 59.6)

Race/Ethnicity

White, NH 80.7 (74.6 - 85.6)

48.8 (42.1 - 55.5)

61.9(54.6 - 68.6)

59.9(57.1 - 62.6)

Black, NH 81.9 (77.9 - 85.4)

63.6 (54.6 - 71.9)

71.5(64.3 - 77.8)

62.5(52.0 - 71.9)

Hispanic 82.7 (78.6 - 86.1)

65.9 (58.6 - 72.6)

70.8(63.9 - 76.9)

58.1(51.1 - 64.7)

Asian, NH 74.8 (61.8 - 84.5) - 61.7

(49.1 - 73.0)70.4

(62.1 - 77.5)

Multiracial, NH 78.4 (69.0 - 85.5) - 59.4

(48.2 - 69.7) -

Sexual Orientation

Heterosexual 81.0 (76.9-84.5)

52.3(46.0-58.6)

64.2 (58.0-69.9)

60.3(58.0-62.5)


79.9 (70.6-86.7)

54.1(45.7-62.2)

63.8 (55.8-71.1)

59.3(52.9-65.4)


Page 76 of 82


OTHER HEALTH CONDITIONS and RELATED FACTORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 1 OF 2)


^Seeing a dentist, past year

^Having a cavity, past year

^Being examined by a dentist or hygienist at

school, past year

Overall (95% Confidence Interval) 89.0(86.8 - 91.2)

29.7(27.2 - 32.2)

6.6(5.1 - 8.1)

Grade

9th Grade 90.6(88.0 - 93.2)

27.4(23.4 - 31.5)

7.2(4.6 - 9.8)

10th Grade 89.9(86.1 - 93.8)

29.1(24.3 - 33.8)

7.1(4.1 - 10.0)

11th Grade 91.1(88.0 - 94.2)

29.4(25.1 - 33.8)

6.5(3.9 - 9.1)

12th Grade 84.6(79.8 - 89.4)

32.6(28.0 - 37.2)

5.6(3.8 - 7.3)

GenderMale 88.1

(85.5 - 90.7)28.6

(25.2 - 31.9)8.1

(5.8 - 10.4)

Female 90.1(87.7 - 92.6)

30.9(27.4 - 34.4)

5.2(3.9 - 6.5)

Race/Ethnicity

White, NH 93.2(91.3 - 95.0)

27.1(24.4 - 29.8)

4.7(3.3 - 6.0)

Black, NH 78(71.5 - 84.6)

36.2(26.7 - 45.7)

15.9(10.3 - 21.4)

Hispanic 82.1(77.4 - 86.7)

37.9(33.9 - 41.8)

10.7(7.8 - 13.6)

Asian, NH 84.4(77.1 - 91.8)

31.7(22.8 - 40.6) -


Sexual Orientation Heterosexual 90.0

(87.9 - 92.1)29.2

(26.6 - 31.8)6.4

(4.8 - 7.9)Gay, Lesbian, and 82.2 33.5 -

Page 77 of 82

Bisexual (76.4 - 87.9) (25.5 - 41.5)Data source: Massachusetts Youth Risk Behavior Survey 2015 unless noted (^), in which the data was from the Massachusetts Youth Health Survey 2015. Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes for a majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 78 of 82

OTHER HEALTH CONDITIONS and RELATED FACTORS – MASSACHUSETTS HIGH SCHOOL STUDENTS (PART 2 OF 2)

Percentage of Massachusetts High School Students who reported: ^Having diabetes

^Having a physical disability or long-

term health problem

^Having a long-term emotional or learning

disability

A non-English language mostly or always being spoken in their home


1.2(0.8 - 1.7)

14.7(13.1 - 16.3)

18.2(16.2 - 20.2)

19.2 (16.0 - 22.8)

Grade

9th Grade - 15.9(12.6 - 19.2)

20.3(16.2 - 24.3)

17.1 (10.5 - 26.6)

10th Grade - 16.0(13.2 - 18.9)

20.4(16.6 - 24.3)

21.5 (14.5 - 30.7)

11th Grade - 13.3(9.8 - 16.9)

16.5(13.1 - 19.9)

17.9 (13.9 - 22.8)

12th Grade - 13.0(10.0 - 16.0)

15.1(11.7 - 18.6)

19.9 (15.2 - 25.5)

Gender Male 1.3

(0.7 - 1.9)12.8

(10.9 - 14.7)17.1

(14.8 - 19.5)17.6

(14.4 - 21.2)

Female 1.1(0.5 - 1.7)

16.0(13.7 - 18.4)

19.2(16.3 - 22.0)

21.0 (17.1 - 25.5)

Race/Ethnicity

White, NH 0.9(0.4 - 1.4)

15.8(13.7 - 17.8)

19.2(16.8 - 21.6)

6.9 (5.3 - 9.1)

Black, NH - 11.2(7.4 - 15.0)

11.8(6.7 - 17.0)

44.3 (35.6 - 53.4)

Hispanic 2.6(1.1 - 4.1)

10.5(7.3 - 13.6)

17.1(11.6 - 22.5)

59.6 (52.9 - 66.0)

Asian, NH - 7.8(3.3 - 12.4)

12.3(6.1 - 18.5)

50.8 (40.9 - 60.5)



(0.6 - 1.5)13.4

(11.7 - 15.1)15.7

(13.6 - 17.8)19.1

(15.8-22.9)Gay, Lesbian, and Bisexual - 30.6

(23.0 - 38.1)45.1

(36.3 - 54.0)17.7

(12.5 - 24.3)


Page 79 of 82

OTHER HEALTH CONDITIONS and RELATED FACTORS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 1 OF 2)


Seeing a dentist, past year

Having a cavity, past year

Being examined by a dentist or hygienist at

school, past yearOverall (95% Confidence Interval)

89.0(87.2 - 90.7)

26.2(24.3 - 28.0)

8.7(6.9 - 10.6)

Grade

6th Grade 88.7(85.9 - 91.4)

24.5(21.6 - 27.4)

8.4(5.5 - 11.4)

7th Grade 88.5(86.2 - 90.9)

27.1(24.1 - 30.0)

10.2(7.6 - 12.7)

8th Grade 89.9(87.5 - 92.3)

26.8(23.5 - 30.1)

7.7(5.1 - 10.3)

Gender Male 87.6

(85.5 - 89.8)25.4

(23.3 - 27.5)8.9

(6.9 - 11.0)

Female 90.7(88.9 - 92.5)

26.9(24.3 - 29.6)

8.5(6.2 - 10.8)

Race/Ethnicity

White, NH 92.8(91.6 - 94.0)

25.3(23.0 - 27.5)

5.3(3.7 - 6.9)

Black, NH 75.5(69.1 - 81.9)

28.5(21.9 - 35.2)

20.6(13.1 - 28.0)

Hispanic 81.2(77.0 - 85.5)

28.5(23.9 - 33.0)

16.3(12.0 - 20.6)

Asian, NH 95.7(92.2 - 99.2) - -

Multiracial, NH 89.3(83.2 - 95.4)

30.6(23.0 - 38.2)

10.1(4.6 - 15.5)

Data source: Massachusetts Youth Health Survey 2015.Footnote: Statistically significant difference between percentages can be assessed if their 95% confidence intervals do not overlap. White, Black, Asian, and Multiracial categories refer to non-Hispanic (NH). Categories of American Indian or Alaskan Native and Native Hawaiian or Other Pacific Islander were not presented due to insufficient sample sizes fora majority of survey questions. Estimates and their 95% confidence intervals were suppressed (-) if the underlying sample size was <100 respondents and/or the relative standard error was >30%.

Page 80 of 82

OTHER HEALTH CONDITIONS and RELATED FACTORS – MASSACHUSETTS MIDDLE SCHOOL STUDENTS (PART 2 OF 2)

Percentage of Massachusetts Middle School Students who reported: Having diabetes

Having a physical disability or long-

term health problem

Having a long-term emotional or learning

disabilityOverall (95% Confidence Interval)

1.3(0.8 - 1.8)

11.8(10.4 - 13.2)

12.8(11.3 - 14.4)

Grade

6th Grade 1.7(0.8 - 2.5)

8.9(6.8 - 10.9)

8.8(6.7 - 10.8)

7th Grade 1.3(0.5 - 2.0)

13.0(10.3 - 15.6)

14.7(11.9 - 17.5)

8th Grade 1.1(0.5 - 1.7)

13.6(11.0 - 16.1)

14.7(11.6 - 17.9)

Gender Male - 10.1

(8.3 - 11.8)10.7

(8.9 - 12.4)

Female 1.5(0.9 - 2.2)

13.6(11.4 - 15.7)

15.0(12.7 - 17.3)

Race/Ethnicity

White, NH 0.9(0.5 - 1.3)

13.4(11.6 - 15.3)

13.3(11.2 - 15.5)

Black, NH - 12.6(6.6 - 18.5) -

Hispanic - 9.3(6.2 - 12.4)

13.6(9.8 - 17.4)

Asian, NH - - 11.2(4.9 - 17.5)

Multiracial, NH - - 17.4(8.6 - 26.2)


Page 81 of 82

DATA TABLES: ANALYSIS and STATISTICS PRESENTED

Data on key health and safety indicators are presented overall and by gender, grade, and race/ethnicity for both middle and high school students, as well as by sexual orientation for high school students. Results for high school students are from the MYRBS, except for a few instances when the data are from the MYHS and are noted (^). All middle school results are from the MYHS.

All data collected for the MYRBS and the MYHS are self-reported from Massachusetts public school students. Self-reported data may be subject to error for several reasons, including inaccurate recall of events.[1][1] Students in private schools, state custody, or other educational settings are not represented. Students who have severe limitations or disabilities, or who are often absent from school may be under-represented. Additionally, data presented are univariate, descriptive percentages. No multivariate analysis was performed on these data. In addition, all data presented are voluntary and cross-sectional, and thus should not be used to assess causality.

Percent estimates presented in these tables are weighted (i.e., adjusted for nonresponse and distribution of students by grade, sex and race/ethnicity) in order to be representative of high school and middle school students across Massachusetts. They are calculated based on the percentage of students who answered “Yes” over all students who responded to the respective question. Students who responded “Don’t know” or refused to respond were excluded from the analysis unless otherwise noted. Since survey estimates are based on a random sample of public school students (instead of a census), a 95% confidence interval is provided for each percent estimate. Statistical significant difference between percent estimates can be determined if their 95% confidence intervals do not overlap. Data are not presented if the underlying sample size is less than 100 respondents and/or the relative standard error is above 30%.

[1][1] National Center for Health Statistics. (January 11, 2007). Reliability of Survey Estimates. Retrieved August 2, 2007, from http://www.cdc.gov/nchs/about/major/ahcd/reliability.htm

Page 82 of 82

http://www.cdc.gov/nchs/about/major/ahcd/reliability.htm

Date post:	31-May-2020
Category:	Documents
Upload:	others
View:	1 times
Download:	0 times

2015 YRBS Executive Summary · Web viewWEIGHT and WEIGHT-CONTROL BEHAVIORS – MASSACHUSETTS MIDDLE...

Documents